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SWRCB,January 2002 Page LIO of <br /> S. FTLL RISER CONTAINAIENT SUW TESTTNG <br /> Facility is Not Equipped With Fill Riser Containment Sumps Im <br /> Fill Riser Containment Sumps are Present,but were Not Tested E3 <br /> Test Method Developed By-. U Sump Manufacturer U Industry Standard U Professional Engineer <br /> U Other(Specify) <br /> Test Method Used: L) Pressure U Vacuum U Hydrostatic <br /> Q Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> IBM= WEE=E= z <br /> rdl Sump# FM Sump# FBI SumE# Fill SOME# <br /> LuiT Diameter- <br /> S!!mp <br /> H6ght from Tank Top to Top of <br /> Piping Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: <br /> Condition of sump prior to <br /> Portion of§Rm <br /> 2 Tested <br /> Sump Material: <br /> Wait time between applying <br /> pressuretvacutun/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Ax): <br /> Test End Time: <br /> Final Reading <br /> Test Duration: <br /> Change in <br /> Pass/Fail Threshold or Criteriw. <br /> Is there a sensor in the sump? U Yes 0 No U NA Wes 0 No LINA (3 Yes CINo E3 NA UYes Q No UNA <br /> Does the sensor alarm when <br /> either product or water is 13 Yes U No LINA Wes E31-b UNA Wes E3 No LINA UYes U No UNA <br /> detected? <br /> Was sensor removed for testing? , Ll Yes 11 No Ll NA Wes E3 No Ll NA 0 Yes OM 13 NA QYes 13 'Nq ONA <br /> Was sensor properly replaced and E3 Yes 0 No UNA UYes UNo (3 NA UYes U No LINA Wes 0 No UNA <br /> verified functional after testing? <br /> Co1ude NEormation on re made prior to tesmig andrec dol or ailed tests) <br />