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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 /> i <br /> Equipment Used: INCON TS-STS Equipment Resolution: 0.0001 <br /> Fill Sump to Fill Sunip# Fill Sump tt Fill Sump# <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 /> Chane in Reading(RF-Rj):Pass/Fail Threshold or Criteria: 0.002 0.002 0.002 _ 0.002 <br /> Test Result: ❑ Pass Fail Pass Fail Pass Fail Pass il:L <br /> Is there a sensor in the sump? El Yes No Yes❑No [jYes❑No Yes❑No <br /> Does the sensor alarm when either ❑Yes❑No❑NA ❑Yes❑No❑NA ❑Yes❑No❑NA ❑Yes❑No❑NA <br /> product or water is detected? <br /> Was sensor removed for testin ? Yes No NA Yes No E]NA <br /> Yes E]No[:]NA Yes C-]No E]NA <br /> Was sensor properly replaced and ❑Yes❑No❑NA ❑Yes❑No❑NA ❑Yes L)No L]NA ❑Yes❑No E]NA <br /> verified functional after testin ? <br /> Comments (include information on repairs made prior to testing and recommended follow-up for failed tests) <br /> N/A <br />