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S W RCB, January 2002 <br />C <br />E <br />8. FILL RISER CONTAINMENT SUMP TESTING <br />Page 6 of 0— <br />t-acility Is Not tguipped With Fill Riser Containment Sumps <br />Fill Riser Containment Sumps are Present, but were Not Tested 0 <br />TeaMethod Developed By: 0 Sump Manufacturer 0 Industry Standard Ej Professional Engineer <br />0 Other (Specify) Z/ <br />Test Meth Used: 0 Pressure 0 Vacuum i] Hydrostatic <br />0 Other (Specify) <br />Test Equipment Used. Equipment Resolution: <br />~ <br />Fill Sum # <br />Fill Sum # <br />Fill Sump# Fill Sum # <br />Sump Diameter: �. <br />Sump Depth: <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />, <br />, <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to <br />testing. <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 />Initial Reading (R!): <br />Test End Time:t <br />Final Reading (RF): <br />Test Duration: <br />Chane in Reading RF -RI): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />0 Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass 0 Fait <br />❑ Pass ❑ Fail <br />Is there a sensor in the su <br />0 Yes 0 No <br />0 Yes ❑ No <br />0 Yes 0 No <br />❑ Yes 0 No <br />Does the sensor alarm gien <br />either product or w r is <br />detected? <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes 0 No 0 NA <br />0 Yes No ❑ NA <br />Was sensor r oved for testing? <br />0 Yes 0 No ❑ NA <br />❑ Yes ❑ No DNA <br />0 Yes ❑ No ❑ NA <br />❑Yes ❑ No NA <br />Was sensq properly replaced and <br />verified functional after testing? <br />0 Yes ❑ No 0 NA <br />0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />0 Yes 0 No ❑ NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />