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SWRCB, January 2002 40 Page of_ Facility is Not Equipped With Fill Riser Containment Sums ❑ Fill Riser Containment Sumps are Present, but were Not Tested ❑ Test Method Developed By: ❑ Sump Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic ❑ Other (Spec) Test Equipment Used: Equipment Resolution: �: ,- .. ..-.,,N *m.4wrr�.. ; ,' ;, ..' �.. + '�,ax' • , + _*- �' ..".". '�.',,,r, ,.iGw°°s��,"r:wuae, s ;?k5k ra*� .a,-,'�c.t 44�. 5tw.`^ Fill Sump # 1 Fill Sump # Fill Sump # Fill Sump # Sump Diameter: 42" Sump Depth: 50" Height from Tank Top to Top of Highest Piping Penetration: 28" Height from Tank Top to Lowest Electrical Penetration: 18" Condition of sump prior to testing: Dry Portion of Sump Tested 2" Above Highest piping Penetration Sump Material: Fiberglass Wait time between applying pressure/vacuum/water and starting test: 5 Min Test Start Time: 10:15 Initial Reading (RI): .00 Test End Time: 10:45 Final Reading (RF): .00 Test Duration: 30 Min Change in Reading (RF -RI): .00 Pass/Fail Threshold or Criteria: .005/30Min Test Result: x Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail Is there a sensor in the sump? x Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Does the sensor alarm when either product or water is detected? xYes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor removed for testing? ❑ Yes x No ❑NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor properly replaced and verified functional after test x Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No �E]N:A] Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests)