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SWRCB January,2002 Page of 7. i_TNDER-DISPENSEANTAINNIENT C TESTING 0 Test Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other(Specify) Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic ❑ Other(Specify) Test Equipment Used: Equipment Resolution: _ m. UDC:# UDC# UDC# [SDC UDC Manufacturer: UDC Material: UDC Depth: I Height from UDC Bottom to Top of Highest Piping Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to testing: Portion of UDC Tested Does turbine shut down when UDC sensor detects liquid(both El Yes ❑ No F1NA El Yes El 11 11NA El Yes 11 No 11 NA ❑Yes El No ElNA product and water)?* Turbine shutdown response time Is system programmed for fail- safe shutdown?' El Yes [I No ❑ [3 Yes [I No [INA El Yes [I No ❑ NA El Yes El No ❑ NA Was fail-safe verified to be ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA operational?* Wait time between applying pressure/vacuum/water and starting test Test Start Time: Initial Reading(RI): Test End Time: Final Reading(RF): Test Duration: Change in Reading(RF-R,): Pass/Fail Threshold or Criteria: Test Result: ❑Pass ❑Fail ❑ Pass ❑Fail ❑Pass ❑ Fait ❑ Pass ❑ Fail Was sensor removed for testing? ❑Yes ❑ No ❑NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑Yes fl No ❑ NA Was sensor properly replaced and verified functional after testing? ❑Yes ❑ No ❑NA ❑Yes ❑ No ❑ NA ❑Yes [I No ❑ NA ❑Yes ❑ No ❑ NA Comments—(include information on repairs made prior to testing,and recommended follow-up for failed tests) r If the entire depth of the UDC is not tested,specify how much was tested. If the answer to any of the questions indicated with an asterisk (*)is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160)