Laserfiche WebLink
4. FILL RISER CONTAINMENT SUMP TESTING <br /> Company Name: B.Z. Service Station Maintenance <br /> Company Address: 1041 Triangle Ct.,West Sacramento,CA 95605 <br /> Credentials: ® CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester <br /> License Type: ICC License Number: 433159 <br /> 'fest Equipment Used: INCON TS-STS Equipment RCSOIntIOn: 0.0001 -- <br /> Fill Sump #_ - Fill Sump# Fill Sump# I Fill Sump-ti <br /> Test Start Time: <br /> Initial Reading (R,): <br /> Test End Time: _ <br /> Final Reading(RF): <br /> Test Duration: 15 MIN 15 MIN 15 MIN 15 MIN <br /> --- <br /> Change in Reading RF-Ri): <br /> Pass/Fail Threshold or Criteria: 0.002 0.002 0.002 0.002 <br /> Test Result: Pass 0 Fail M Pass Fail ❑ Pass ❑ Fail El Pass El Fail <br /> Is there a sensor in the sum ? El Yes L1 No ❑Yes No E] Yes❑No ❑Yes❑No <br /> Does the sensor alarm when either <br /> roduct or water is detected? ❑ Yes[:1 No[:]NA [I Yes E]No❑NA E]Yes❑No[1 NA ❑Yes El No El NA <br /> Was sensor removed for testing? ❑ Yes No❑NA Yes No❑NA 1 ❑Yes❑No❑NA ❑ Yes El No❑NA <br /> Was sensor properly replaced and ❑Yes❑No❑NA ElYes❑No❑NA E]Yes[:]No❑NA C-] Yes❑No❑NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing and recommended follow-up for failed tests) <br />