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9WRCB,January 2002 Page � of <br /> S. 1ILL RISER CONTARMENTS UMIP TESTING <br /> Facility is Not Wpped With Fill I is.rContairment Sumps 0 <br /> Fill Riser Containment Sumps are I -elent,but were Not Tested 0 <br /> Test Method Developed By: E.Sump Manufacturer 0 Industry Standard 0 Professional Engineer <br /> E,Other(Specify) <br /> Test Method Used: E.Pressure 0 Vacuum CD Hydrostatic <br /> E Other(Specify) <br /> Test Equipment Used: =Equipment Resolution: <br /> Sum !:ill Sump# Fill Sump# Fill Sump# Fill Sump# <br /> p Diameter: <br /> Sump 22pLh: <br /> Height from Tank Top to Top <br /> Hi Pipina-Penetration: <br /> Height from Tank Top to Lowest <br /> Electrical Penetration: z <br /> Condition of sump prior to <br /> testing: <br /> Portion of Sump Tested <br /> — <br /> Sum Material: <br /> Wait time between applying <br /> pressurelvacuum/water and <br /> starting test <br /> Test Start Time: <br /> Initial Reading(R): <br /> Test End Time: <br /> Final Reading <br /> Test Duration: <br /> Chane in Reading(RF-Rt): <br /> — <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: 11 pan 0 Fall 0 Pass 0 Fail 0 Pass 0 Fail 0 Pass 0 Fail <br /> Is there a sensor in the sump? D Yes U No D Yes DNo 0 Yes ONo 0 Yes 0 No <br /> Does the sensor alarm when <br /> either product or water is C!'Yes DNo DNA DYes ONo DNA OYes ONo DNA Cl Yes C.No DNA <br /> detected? <br /> Was sensor removed for testing? �!Yes DNo DNA DYes DNo DNA DYes DNo UNA DYes F-,No ONA <br /> Was sensor properly replaced and C' 4 <br /> verified functional after testing? Yes DNo UNA DYes ONo DNA DYes ❑UNo ❑DNA ❑DYes ENO ❑DNA <br /> Comments—(include information n repairs made prior to testing, and recommended follow-up for Lailed tests) <br /> 9 -01 s.aa4ae4u®0 AI eIT13 e66 :01 21 02 AOW <br />