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SWRCB, January 2002 9. FILL RISER CONTAINMENT SUMP TESTING Page of Facility is Not Equipped With Fill Riser Containment Sumps X Fill Riser Containment Sumps are Present, but were Not Tested ❑ Test Method Developed By: i Sump Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic ❑ Other (Spec) Test Equipment Used: Fill Sump # Fill Sump # Sump Diameter: Equipment Resolution: Fill Sump# Fill Sump # Sump Depth: Height from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested Sump Material: Wait time between applying water and starting test: Test Start Time: Initial Reading (RI): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF -R,): Pass/Fail Threshold or Criteria: Test Result: ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Is there a sensor in the sump? ❑ Yes ❑ No Yes Lj No Yes i No iJ Yes No Does the sensor alarm when either product or water is detected? ❑ Yes ❑ No [INA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No NA Was sensor removed for testing? ❑ Yes ❑ No n NA ❑ Yes ❑ No ❑ NA ❑ Yes []No ❑NA —f ❑ Yes ❑ No 11 NA Was sensor properly replaced and verified functional after testing? Yes No NA F1 Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑Yes ❑ No F NA Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests)