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SWRCB,January 2002 Page b of <br /> T. UNDER-DISPENSER CONTAINMENT(UDC) TESTING <br /> Test Method Developed By: X UDC Manufacturer X Industry Standard Professional Engineer <br /> Other(Specify) <br /> Test Method Used: Pressure Vacuum X Hydrostatic <br /> Other(Specify) <br /> Test Equipment Used:Incon Equipment Resolution: <br /> UDC # UDC# 2 UDC# UDC# <br /> UDC Manufacturer: <br /> UDC Material: P19(4e, 11*15 <br /> UDC Depth: �d X2_ <br /> Height from UDC Bottom to Top <br /> of Highest Piping Penetration: .ytt <br /> Height from UDC Bottom to <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to <br /> testing: <br /> Portion of UDC Tested <br /> Does turbine shut down when <br /> UDC sensor detects liquid(both Yes No Yes No ( 1g Yes No NA Yes No NA <br /> product and water)?* <br /> Turbine shutdown response time <br /> Is system programmed for fail- <br /> safe shutdown?' Yes No (N_AD Yes No (SP Yes No NA Yes No NA <br /> Was fail-safe verified to be <br /> operational?* Yes No Yes No 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(R,): p Gj $Z3541 <br /> Test End Time: <br /> Final Reading(RF): - aj <br /> Test Duration: y �r n <br /> Change in Reading(RF-Rj): —,pia a0e c�- <br /> Pass/Fail Threshold or Criteria: +/-.002 +/-.002 +/-.002 +/-.002 <br /> 'Fest Result. ass Fail CF2sV Faii Pass. Fail Pass Fail <br /> Was sensor removed for testing? es No NAYes o NA Yes No NA Yes No NA <br /> Was sensor properly replaced and es No NA Yes No NA Yes No NA Yes No NA <br /> verified functional after testing? <br /> Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> 1�L , 1 U 0d L,ot2 <br /> Alper 5 /d, /-,-e Q Saf- <br /> If the entire depth of the UDC is not tested, specify how much was tested. If the answer to as of the questions indicated with an <br /> asterisk(*) is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160) <br />