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S WRCE, January 2002 Page-of <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Cont imueut Sumps ❑ _ <br /> Fill Riser Containment Sumps are Present,but were Not Tested 0 <br /> Test Method Developed By: ❑Snnyt Manufacturer ❑I»dusty Standard ❑Professional Engineer <br /> 0 Other(Specify) <br /> 'rest Method Used: 0 Pressure 0 Vacuum � u Hydrostatic <br /> _ 0 Other(Spec6) <br /> Test Equipment Used: Equipment Resolution: <br /> =„tT Fill Sump# Fill Sump# Fill Bum # Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: <br /> Height from Tank Top to Top of _ <br /> Highest Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: _ <br /> Condition of sump prior to <br /> testing: <br /> Portion of Sump Tested <br /> Sump Material: -' <br /> Wait time between applying <br /> pressureA acuunthvater and <br /> Startiu test: <br /> Test Start Time: <br /> Initial Reading(RI): _ <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Rt): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: 0 Pass M Fail 0 Pass 0 Fat? 0 Pace 0 Fail 0 Pato 0 Fail <br /> Is there a sensor in the sump? 0 Yes 0 No 0 Yes ONo ❑Yes ❑No 0 Yes ❑No <br /> Does(lie seusor alarm when <br /> either product or nater is 0Yes No DNA ❑Yes ONo 0NA ❑Yes ONo DNA ❑Yee ONo 0NA <br /> detected'! <br /> Was sensor removed for testing? DY <br /> verified functional after testing? 0 N 0 N ❑Yes 0 N 0 N OYes ONo DNA ❑Yes ONo DNA <br /> Was sensor onalareplaced and 0Yes DNo DNA 0Yes ONo DNA ❑Yes 0 N DNA Dyes ONO ❑NA <br /> Comments—(include inforination on repairs made prior to testing, and recommended follow-ap for faded tests) <br />