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J <br />R_ FILL RISER CONTAINMENT SUMP TESTING <br />Facility is Not Equipped With Fill Riser Containment Sumps ❑ <br />Fill Riser Containment Sumps are Present, but were Not Tested ❑ <br />Test Method Developed By: ❑ Sump Manufacturer ® Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Incon Sump <br />Tester Equipment Resolution: +/- 0.002" <br />Sump Diameter: <br />Fill Sump # 87 Fill Sump # 89 <br />42" 42" <br />Fill Sump # 91 <br />42" <br />Fill Sump #Diesel <br />42" <br />Sump Depth: <br />82" 82" <br />82" <br />83" <br />Height from Tank Top to Top of <br />Highest Piping Penetration: <br />NA NA <br />NA <br />NA <br />Height from Tank Top to Lowest <br />Electrical Penetration: <br />25" 26" <br />25" <br />25" <br />Condition of sump prior to <br />testing-, <br />Good Good <br />Good <br />Good <br />Portion of Sump Tested <br />2" above piping 2" above piping <br />2" above piping <br />2" above piping <br />Sump Material: <br />Fiberglass Fiberglass <br />Fiberglass <br />Fiberglass <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />30 minutes 30 minutes <br />30 minutes <br />30 minutes <br />Test Start Time: <br />10:08 am 10:08 am <br />10:08 am <br />10:08 am <br />Initial Reading (R,): <br />2.7337 5.4168 <br />4.5935 <br />4.1545 <br />Test End Time: <br />10:23 am 10:23 am <br />10:23 am <br />10:23 am <br />Final Reading (RF): <br />2.7338 5.4171 <br />4.5937 <br />4.1559 <br />Test Duration: <br />15 min. 15 min. <br />15 min. <br />15 min. <br />Change in Reading (RF -R,): <br />0.0001 0.0003 <br />0.0002 <br />0.0014 <br />Pass/Fail Threshold or Criteria: <br />+/- 0.002" +/-0.00211 <br />+/-0.00211 <br />+/- 0.002" <br />Test Result: <br />® Pass ❑Fail O Pass ❑Fail <br />D Pass ❑Fail <br />91 Pass ❑Fail <br />Is there a sensor in the sump? <br />® Yes ❑ No ® Yes ❑ No <br />® Yes ❑ No <br />® Yes ❑ No <br />Does the sensor alarm when <br />either product or water is <br />detected? <br />❑ Yes ❑ No ® NA ❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ® NA <br />Was sensor removed for testing? <br />® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA <br />® Yes ❑ No ❑ NA <br />® Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />®yes ❑ No ❑ NA ®Yes ❑ No ❑ NA <br />®Yes ❑ No ❑ NA <br />®Yes ❑ No ❑ NA <br />_ Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Sensor functionality was not confirmed. This procedure is not part of the Secondary Containment testing scope of work <br />•+ V Y' 7 a ti a <br />.3 <br />