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Project Name P, L fit= VALUE <br /> Inspector's Name Nh_ KtMtfo '4 ENGINEERING <br /> Unit Tested i0my-F <br /> Date 8-7,1-/3, ci, g-?A-( 'a <br /> ANNUAL LCRS CONTINUITY TEST INSPECTION <br /> (A)TRACER DYE PRE-TESTING PHASE <br /> 1. Is the LCRS sump pumped for liquids prior to testing? yes _ no <br /> 2. Was a pre-testing LCRS sample collected for observation? yes _ no <br /> 3. If the sump was not pumped prior to testing,state reason: NA- <br /> 4. Is the entry port free and clear of accumulated debris? yes no <br /> 5. Are any repairs needed to the port prior to LCRS continuity testing?yes no__)C <br /> 6. Total number of ports that require repair: <br /> 4- <br /> 7. If repairs are required to the entry port, complete a Maintenance Work Order(MWO). <br /> Comments: do ✓�� <br /> (B)TRACER DYE INJECTION PHASE <br /> Tracer Dye Used: g wL� VA lt. T1*<Vr- bW Unit: WMV- <br /> Start time of tracer dye injection: 131)'0 Tank Start Reading(gal.): 2.0 0•m <br /> Stop time of tracer dye injection: 14 08 Tank Stop Reading(gal.): 0- 00 <br /> Total volume of tracer dye mixed(ml) 8o mL <br /> Total volume of tracer dye solution injected in the unit(gallons): 2-00• <br /> Average flow rate of injected tracer dye solution(gallons per min.): 5- LC <br /> Comments: IJIAar 44C .,f, fiAO-of _02 a_ W �ti- - a- ,Uimbf <br /> 40 h6949M all " <br /> Remedial Action Work Order Date Completed Signature <br /> Signature of Inspector <br /> ef <br /> Page 1 of 2 <br />