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SWRCB,January 2002 0 Page (0 of <br /> 8. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps <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 Metho&.Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used.`,-,,, Equipment Resolution <br /> Fill SUMP# Fill Sump# Fill Sum # , Fill Sum # <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 "f <br /> Sump Material: <br /> Wait time between applying ,l <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 /> Chan a in Reading(RF-RI): <br /> Pass/Fail Threshold or Critdria: <br /> Test Result: ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail `; ❑ Pass ❑Fail <br /> Is there a sensor in tod sump? ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No "IQ Yes ❑No <br /> Does the sensor ajdrm when <br /> either produc e water is ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes . No ❑NA <br /> detected? <br /> Was senso removed for testing? ❑Yes ❑No .❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was senor properly replaced and ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ( iA <br /> verified functional after testin ? A <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />