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S_ WL RISER CONTAINMENT SUMP'T ING <br /> Facility is Not Equipped With Fill Riser Containment Sums Ci <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: C Sump Manufacturer ❑Industry Standard }9l Professional Engineer <br /> U Other(Specify) <br /> Test Method Used: D Pressure ❑ Vacuum ❑Hydrostatic <br /> X Other(Specify) A 7'G,t`i 2 Hydrostatic <br /> Test Equipmented. <br /> s lmetkir.metEquipment Resolution: 0,0®j (a,P R <br /> Fill Sump# Fill Sump#~ Fill Sump# <br /> r, Fitl Sum <br /> p# <br /> Sum Diameter: 2 T v% 42 g +2- <br /> Sump Depth: I <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration: �j® Q, G7 I^e <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: :�� L y` I y` 3 I12 <br /> 4�SLS <br /> Condition of sump prior to l 1 <br /> testing: �?C► O c, �7 O O C� •.- U <br /> Portion of Sump Tested IQ T y'ch eYJ <br /> L n G k s w i tnG�2S <br /> Sum Material: Fi b t il` T Fl, F <br /> Wait time between applying 3o M v►cktes 30 McV%uteS �® M1inate5 3® ttiye�teS <br /> pressure/vacuum/water and <br /> starting test: y ! ;,�yy� ►'1` ! t.k t t `vv, <br /> Test Start Time: �) : : 2 A ( )O: a, M <br /> Initial Reading(RO: will1 S9 1 -) &,is WNl <br /> Test End Time: 11 I AM I ®` A <br /> Final Reading(RF): 5 ® i O ytn ml ( 'loo hal <br /> Test Duration: ub@5 I1 yt j nv ,(�M S <br /> Chane in Reading(RF-RI): V yn,I <br /> Pass/Fail Threshold or Criteria: Q 410 noyL <br /> Q S (�P i-1 Q, P H{ O. P P <br /> Test.Result 1S:Pass C Fail '1L Pass` D.Fad Pass Q Eail` '' 'Pass D Fait <br /> i <br /> Is there a sensor in the sump? 9yes ❑No ' Yes ❑No ( ]Yes ❑No i Yes C No <br /> Was sensor removed for testing? Byes D No D NA 9Yes C No DNA Yes D No DNA I Yes C No DNA <br /> Was sensor properly replaced and <br /> verified functional after testins? X> Yes ❑No 11NA RYes C No ❑NA N Yes C No D NA XYes D No ❑NA <br /> i <br /> Comments—(include information on repairs made prior to testing and recommended follow-uo for failed tesrs) <br />