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i Page of j r r 8. FILL RISER CONTAINMENT SUMP TESTING Facility is Not Equipped With Fill Riser Containment Sums ❑ Fill Riser Containment Sums are Present,but were Not Tested ❑ Test Method Developed By: ❑Sump Manufacturer N Industry Standard ❑Professional Engineer ❑Other(Spec) Test Method Used: ❑Pressure ❑Vacuum N Hydrostatic ❑Other(Spec) Test Equipment Used: Wayne Perry Inc. See Attached Results Equipment Resolution:.0007" Sump Sump Sump Sump r Sump Diameter: " Sump Depth: " Sump Material: Height from Tank Top to Top of „ Highest Piping Penetration:. Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testing: Portion of Sump Tested 2"ABOVE HIGHEST 2"ABOVE HIGHEST 2"ABOVE HIGHEST 2"ABOVE HIGHEST PENETRATION PENETRATION PENETRATION PENETRATION Wait time between applying water 15 Minutes 15 Minutes 15 Minutes 15 Minutes -------an -s ng est: - --- —_. Test Start Time: Initial Reading(RI): Test End Time: Final Reading(RF): Test Duration: 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min 15 Min Change in Reading(RF-RT): Pass/Fail Threshold or Criteria: -0.0020 -0.0020 -0,0020 -0.0020 -0.0020 -0.0020 -0.0020 -0.0020 DoerTest Result: ❑ Pass ❑Fail ❑ Pass ❑.Fail ❑ Pais ❑Fail ❑ Pass ❑Fail Is there a sensor in the sump? _ N Yes ❑No ❑NA N Yes ❑No ❑NA N Yes ❑No ❑NA N Yes ❑No ❑NA s alarm when either roduct or water is detected? ❑Yes ❑No N NA ❑Yes❑No N NA ❑Yes ❑No N NA ❑Yes ❑No N NA Was sensor removed for Testing? N Yes ❑No ❑NA N Yes ❑No ❑NA N Yes ❑No ❑NA N Yes❑No ❑NA Was sensor properly replaced and N Yes ❑No ❑NA N Yes❑No ❑NA N Yes ❑No [INA N Yes ❑No ❑NA verified functional after testing? Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) I Chevron #209167 234 Yosemite Ave Manteca, Ca X8057 SB989