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SWRCB, January 2002 <br />L fro-tvar, eYnmo rrr•LT71ATa_' <br />Page 1- of _--t-- <br />Test Method Developed By: <br />❑ Sump Manufacturer 8 Industry Standard O Professional Engineer <br />O Other (Spec& <br />Test Method Used: <br />0 Pressure <br />0 Vacuum <br />z Hydrostatic <br />O Other (Speco) <br />Test Equipment Used: INCpN T <br />—STS <br />Ec}uipment Resolution:. 000in ° _ <br />11 <br />Sump#\JLX <br />Sutnp# <br />Sump# Sump# <br />Sump Diameter: <br />° <br />N <br />Z <br />Sump Depth: <br />�« <br />Yel <br />_ <br />Sump Material: <br />i <br />Height from Tank Top to Top of <br />, ' <br />Hi hest Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to testing: <br />Portion of Sump Tested! <br />c^?O • ° <br />Does turbine shut down when <br />sump sensor detects. liquid (both <br />0 Yes 0 No ON- A <br />0 Yes 0 No ;9NA <br />O Ycs O No DNA, Oyes ONO O NA <br />and water)?._ <br />-product <br />Turbine shutdown response time <br />* J <br />Is system programmed fbr fail-safe <br />shutdown?' <br />0 Yes O No g NA <br />0 Yes 0 No 4NA <br />0 Yes ❑ No 0 NA 0 Yes 0 No 0 NA <br />Was fail-safe verged to be <br />o erationalf <br />0 yes O No KNA <br />0 Yes 0 No )04A <br />D Yes O Na DNA 0 Yes 0 N 0 NA <br />Wait time between applying <br />pressure/vacuum/water and smAing <br />test: <br />m <br />Test Start Time: <br />j/: y% /:574 <br />L 1 <br />Initial Reading (R,): <br />2°177' 2 '° <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />s�t <br />Change in Reading (RF-R�: <br />, opo • CTth7 <br />, <br />Pass/Fall Threshold or Criteria: <br />vo;;, <br />C6 <br />Result: <br />Pass 0 Fall <br />11 Pass 0 Fall <br />0 Pass O Fait 0 Pass 01+811 <br />Was sensor removed for testinAd <br />Yes O No DNA <br />es O No DNA <br />0 Yes 0 N 0 N 0 Yes DNo 0 NA <br />Was sensor properly replaced <br />es Q No DNA <br />,Yes 0 No DNA <br />❑Ycs O No ❑ NA D Yes O No DNA <br />verified functional after testin <br />Comments — (include in ormallon on re airs made rior to to m , and recommended ollow-Mpfor ailed tests <br />1 If the entire depth of the sump is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br />asterisk (°) is "NO" or "NA", the entire sump must be tested, (See SWRCB LG -160) <br />