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.4VALUE <br />Project Name F-op-tvmLt, yAubPL L <br />Inspector's Name S u W I i kl SN a A -W i ENGINEERING <br />Unit Tested W M V - E <br />Date -1,-1--14 -e- S -is -1 G <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__X_ 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^>,e_ <br />G. Total number of ports that require repair:4 <br />7. If repairs are required to the entry port, complete a Maintenance Work Order (MWO). <br />Comments: No OE4 cz-R / d <br />(B) TRACER DYE INJECTION PHASE <br />2 Tracer Dye Used: Mm QOtt f 1coy- Unit: WMO-47 <br />Start time of tracer dye injection:, d2 t Tank Start Reading (gal.): 2_ 0o - 0 <br />Stop time of tracer dye injection: 10'5 ` Tank Stop Reading (gal.): 0 • d <br />Total volume of tracer dye mixed (ml) :_ 2�U V ., <br />Total volume of tracer dye solution injected in the unit (gallons): 9-0•O, <br />Average flow rate of injected tracer dye solution (gallons per min.): <br />Comments: I J r�txc Urc+� <br />WM <br />Signature of Inspector <br />• <br />Page 1 of 2 <br />