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SWRCB,January 2002 page of <br /> 7. FILL RISER CONTAINMENT STESTING <br /> Facility is Not Equip ed With Fill Riser Containment Sums ❑ <br /> Fill Riser Containment Sumps are Present,but were Not Tested <br /> Test Method Developed By: ❑ Sump Manufacturer ❑Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic _z <br /> ❑Other(Specify) <br /> Test Equipment Used:• _ Equipment Resolution: <br /> ZEN <br /> Fill Sump# Fill Sum # Fill Sump# FiII 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 /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(R,): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading F-RI): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ❑ Passe 0 Fail ❑ Pass ❑Fail ❑ "Pass0 Fail 0 Pass Fail <br /> Is there a sensor in the sump? ❑Yes ❑No ❑Yes ❑No ❑Yes No ❑Yes ❑No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> detected? <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA JOYes ❑No [INA <br /> Was sensor properly replaced and 0 Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />