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SWRCB,January 2002 Page_of <br /> S. 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 /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> Fill Sump# Fill Sump# Fill Sump# Fill Sump# <br /> Sump Diameter: <br /> Sump Depth: <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 /> water and starting test: <br /> Test Start Time: <br /> Initial Reading : <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading RF-Rj : <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: <br /> Is there a sensor in the sump? <br /> Does the sensor alarm when <br /> either product or water is <br /> detected? <br /> Was sensor removed for testin ? <br /> Was sensor properly replaced and <br /> verified functional after testing? <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up forfailed tests) <br />