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SWRCB,January 2002 Page of <br /> 8. FILL RISER CONTAINMENT SUMP TESTING <br /> Facility is Not Equipped With Fill Riser Containment Sumps X <br /> Fill Riser Containment Sumps are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Sump Manufacturer ❑Industry Standard ❑Professional Engineer <br /> D Other(Sped) <br /> Test Method Used: D Pressure D Vacuum D Hydrostatic <br /> D Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sump# Fill Sump# Fill Sump# Fill Sump# <br /> Sum Diameter: <br /> Sum De the <br /> Height from Tank Top to Top of <br /> Highest Piping Penetration: <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 Readin (Rl): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Rt): <br /> Pass/Fail Threshold or Criteria: <br /> Is there a sensor in the sump? ❑Yes D No ❑Yes D No D Yes D No D Yes ❑No <br /> Does the sensor alarm when <br /> either product or water is ❑Yes D No DNA ❑Yes D No DNA D Yes ❑No ❑NA D Yes ❑No DNA <br /> detected? <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes D No DNA ❑Yes D No ❑NA D Yes ON DNA <br /> Was sensor properly replaced and ❑Yes ❑No DNA ❑Yes D No DNA D Yes D No D NA D Yes ❑No DNA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing and recommended follow-up for failed tests) <br />