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ACDEH,August 2003 Page of <br /> 7. UNDER-DISPENSER CONTAINMENT QLDQ TESTING <br /> Test Method Developed By: ❑UDC Manufacturer ❑Industry Standard ofessional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum <br /> ostatic <br /> ❑Other(Sped) <br /> Test Equipment Used: In-Con TS-STS Equipment Resolution: <br /> UDC# UDC#S Q'G UDC# <br /> UDC Manufacturer: <br /> UDC Material: <br /> UDC Total Depth: <br /> Height from UDC Bottom to Top <br /> of Highest Piping Penetration: <br /> Height from UDC Bottom to <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to <br /> testin : <br /> Depth of UDC Tested <br /> Does turbine shut down when <br /> UDC sensor detects liquid(both ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes El No ❑NA El Yes 11 No ❑NA <br /> product and water)?* <br /> Turbine shutdown response time <br /> Is system programmed for fail- <br /> safe shutdown?* ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was fail-safe verified to be <br /> operational?* ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Wait time between applying <br /> Pressure/vacuum/water and <br /> starting test <br /> Test Start Time: <br /> Initial Reading(RO: <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Ro: <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Was sensor removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Was sensor properly replaced and <br /> verified functional after testing? ❑Yes ❑No ❑NA ❑Yes ❑No [INA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA <br /> Comments—(include information on repairs made prior to testing and recommended follow up for.faile d tests) <br />