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e <br />S W RCB, January 2002 <br />S. FILL RISER CONTAINMENT SUMP TESTING <br />Page,& of <br />Facility is Not Equipped With Fill Riser Containment Sumps <br />Fill Riser Containment Sumps are Present, but were Not Tested <br />t Method Developed By: Sump Manufacturer Industry Standard Professional Engineer / <br />Other (Spec) <br />Test Me hod Used: Pressure C Vacuum Hydrostatic <br />Other (Spec) <br />Test Equipment`Used: IEquipment Resolution:.. -y <br />um <br />Fill S # Fill Sum # <br />Fill Sum # # p Fill Sum <br />Sum Diameter: <br />Sump Depth: <br />` <br />Height from Tank Top to Top of „ <br />Highest Piping Penetration: <br />,a <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />Condition of sump prior to <br />testing: <br />roruon ut oump t es[ea <br />- <br />-Sump Material: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (Ri): <br />Test End Time: <br />., <br />Final Reading RF): <br />Test Duration- <br />uration:Chan <br />Change <br />a in Reading (RF -Kr <br />Pass/Fail Threshold o iCriteria: <br />Test Result:- r <br />❑ Pass ❑ Fail <br />0 Pass ❑ Fail <br />❑ Pass ❑ FailF ''., <br />❑ Pass ❑ Fail <br />Is there a sensor'in the sump? <br />0 Yes f -i No <br />C Yes 0 No <br />11 Yes 11No <br />,Q Yes ❑ No <br />Does the sepsor alarm when <br />either prpduct or water is <br />detected? <br />G Yes 0 No 0 NA <br />0 Yes C No a NA <br />C Yes ❑ No L; NA <br />13 Yes y`rJ,No CNA <br />Was sensor removed for testing? <br />C Yes C No 0 NA <br />C Yes C No C NA <br />0 Yes C No C NA <br />0 Yes C, No CNA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />0 Yes ❑ No 11 NA <br />0 Yes C No CNA <br />0 Yes C No CNA <br />Yes C No CNA <br />Comments - (include information on repairs made prior to testing, and recommended follow-up for Jailed tests) <br />