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From DIALYSIS NORTH to 19494501177 at IU/18/2002 2: 25 PM 00, <br /> SW RCB.January 2002 Page 7 of 13 <br /> S. FILL RISER CONTAINMENT SUMP TESTING <br /> facility is Mat Equippcd With Fill Riscr Containntarl SuM C <br /> Fill Riser Comaittrnent Sumps am Prevent,but were Noi Testod E <br /> Test Method lk velopcd By: i"Stmv Manufacturer Industry Standard 0 Professional Engineer <br /> ! :Other(Specify) <br /> Test lvlethod Used: 1 Pressure Vacuum t Hydroctatic <br /> ! "her(Spe rfy) <br /> Test Equipment Used: AAT'S M ALL ArLo vi err-W&W"t_ Equipment Resolution: s Qp t t r <br /> -- - FII[Sump# _i- FTI Sum fO... Fill Sum tf Fill SUMP 0 <br /> S u-p Depth: 0 rr r r ,, 5 1. <br /> Height from Tank Top to Top ofS ,r 3 2 it 1 3 <br /> Highest Piping Pcnctrxtion: <br /> Height from Tank Top to Lowest „ () r• 3 I !, / ii ' <br /> Electrical Penetration <br /> Condition of sump prior to f <br /> testing: 00 an [j va 4v43, <br /> Portion of Sum Te_ated -391, rl 3 N If <br /> Swnp Material: F-lceou,tr4 / C3L(r CA S %I�t�[L i,4SS <br /> Wait time between applying <br /> PtEg "wvacuurzt/weter and 11 <br /> startin test: d ,J `V A+I 4;J V M <br /> Test Start Time: / <br /> Initial Reading(RO! as -go <br /> ,0 Op j r •:• '� ,r ,c.ua r <br /> Tact End Time: 7 14 112- .3 ' 2 <br /> Final ReaR� <br /> -,a Gi, r� rl a rJG��; it 0jovo[/ <br /> Test Dotation: r+r<CJLJ 1 / 2- -71a Y M <br /> Change in Reath (R,-RE): a 00 0 ifI r 60 f jr . DV 4) `I . COO” <br /> PasslFaA Threshold or Criteria: , 0 0,2_" OU 1, (: , 007- !' _r , 00 J, <br /> Test Result: # Pass : •Fail IR Pass =Fall 1 Pass D Pail 0 Pass !!Fail <br /> Is there a sensor in the sump'' *Ycs —:No. &Yes No ll Yes : :No 0 Yes L <br /> the sensor Slam whm ■Yes No NA No— <br /> Does - <br /> either product or water is . *Yes :]No NA *Yes !.No : .NA 8 Yss No IFA <br /> &erected? <br /> Was gene removed flet testing? 111 Yes --No :I NA 111I.Yes J No -JNA M Yes ',. No ? :NA Z Yes No -NA <br /> Was scueor propedy mpL .atw '■Yes. ;!No ;!NA <br /> verified functional after te&tine. i Yes 0 No n NA i Yes �'No 'NA ■Yts f iNa NA <br /> ComMents—(include b tion on reparrs Mrade rwr ro iffring,and recommended folio%-up or ailed lesoa <br />