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0 <br />SWRCB, January 2002 <br />Page C:�,of <br />8. <br />FILL RISER CONTAINMENT SUMP <br />TESTING <br />Facility is Not Equip2ed With Fill Riser Containment Sum s <br />Fill Riser Containment Sumps are Present, but were Not Tested -❑ f - <br />Test Method Developed By: <br />❑ Sump Manufacturer ❑Industry Standard ❑Professional Engineer <br />❑ Other (Spec) <br />Test Met Used: <br />❑ Pressure ❑ Vacuum <br />❑Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Us <br />Equipment Resoluti <br />110MINOM <br />Fill Sump # Fill Sump # <br />Fill Sump # Fill Sump # <br />Sum Diameter: <br />Sum De the <br />Height from Tank Top to Top of <br />Hi hest Piping Penetration: <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to <br />testin : <br />Portion of Sump Tested <br />Sump Material: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time.- <br />ime:Initial <br />InitialReading RJ : <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Readin -RI <br />Pass/Fail Threshold or Cr' ria: <br />Test Result: <br />❑ Pass ❑ Fair ❑Pass ❑Fail <br />p Pass ❑Fail ❑Pass 0 FA, <br />Is there a sensor in sump? <br />❑ Yes ❑ No ❑ Yes ❑ No <br />0 Yes ❑ No Yes ❑ No <br />Does the sensor arm when <br />either product r water is <br />detected? <br />❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA ❑ Yes No ❑ NA <br />n r removed for testing? <br />p Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br />nsor properly replaced and <br />[v!ern2ffled:ftincfional <br />❑ Yes ❑ No ❑ NA <br />after testing? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ Na ❑ NA ❑ Yes ❑ No ❑ N <br />Comments — (include information on repairs made prior to testing and recommended follow up for failed tests) <br />