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SWRCB..January 2002 FINALDRAFT Page 6 of 7 <br /> 8. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sump(s) ❑ <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑ Sump Manufacturer El Industry Stan ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(SpecifyTest Equipment Used.: Equipment Resolution: <br /> Fill Sump# Fill Sump# Fill Sump# Fill 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 Readin (R): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result P Fail Fail IDP- Fail OPass OFMF <br /> Is there a sensor in the ? Yes No Yes No es No OVei No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes❑No❑NA ❑Yes❑No[INA ❑Yes❑No❑NA ❑Yes❑No ❑NA <br /> detected? <br /> Was sensor removed for testing? Yes No EINA OYes ONo EINA Elyes ONo EINA Owes No NA <br /> Was sensor properly replaced and <br /> verified functional after testin ? []Yes❑No❑NA ®Yes❑No❑NA ❑Yes❑No❑NA []Yes❑No❑NA <br /> Comments—(Include information on repairs made prior to testing, and reco nded follow-up for failed tests.) <br /> No Fill Riser Containment Sump. <br />