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SWRCB, January 2002 <br />Facility is Not Equipped With Fill Riser Containment SUMDS <br />fifl Riser Containment Sumps are Present but were Not Tested 0 <br />11* Method Developed By: 0 Sump Manufacturer 0 Industry Standard <br />0 Other (Specify) <br />Test Metho d.- C] Pressure 0 Vacuum <br />0 Other (3Deci6-) <br />Test Equipment Used: <br />Fill Sump # <br />5ump Diameter: <br />Sump Depth: <br />Height from Tank Top to Top of <br />Hi est Pi in Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to <br />eit�m- <br />Portion of Sump Tested <br />Wait time between applyinj <br />Pressure/vacuturUwater and <br />test. <br />Test Start Time: <br />IWILI , M <br />Page of <br />0 Professional Engineer <br />--� <br />0 Hydrostatic <br />t�z - <br />Reso on: <br />Fill SumD # <br />Comments ZAElude tSLOrmatlon on repairs made prior to testing, and recommended ollow up for failed tests <br />L000/90001A YVA 8T:60 OTOZ/ZO/LO <br />n=0 <br />n 17 <br />al�whei <br />water is <br />1 0 yes GNo ONA <br />OYes ONo ONA <br />0 0 No ONA <br />a <br />R-UnIzZlEaMmul <br />z <br />IN MON 0A to! <br />0 Yes C3 No NA <br />0 <br />0 Yes 0 No 0 NA <br />EMMIM <br />Comments ZAElude tSLOrmatlon on repairs made prior to testing, and recommended ollow up for failed tests <br />L000/90001A YVA 8T:60 OTOZ/ZO/LO <br />