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s <br />SWRCB, January_ 2002 ~ ... Page of <br />.nmcn rrcMcWQ IO nnrrr A rNMFNT irTFIrl TFCTINr_ <br />Test Method Developed By. V Yy ❑ UDC Manufacturer ❑ Industry Standard X Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum X Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: INCON STS <br />N/A N/A <br />UDC Manufacturer: <br />Equipment Resolution: .002 <br />N/A <br />N/A <br />UDC Material: <br />UDC 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 />testing: <br />Portion of UDC Tested <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)? <br />Turbine shutdoll a response time <br />Is system programmed for fail- <br />safe shutdown? <br />XYes ❑ No ❑ NA <br />XYes ❑ No ❑ NA <br />XYes ❑ No ❑ NA <br />XYes ❑ No ❑ NA <br />Was fail-safe verified to be <br />operational?* <br />X yes ❑ No [INA <br />XYes ❑ No ❑ NA <br />XYes ❑ No ❑ NA <br />X Yes ❑ No ❑ NA <br />Wait time between applying <br />presstue/vacuumhwaterand <br />starting test <br />Test Start Time: <br />Initial Reading (Rr): <br />Test End Time: <br />Final Reading (RF): <br />Test Divation: <br />Chane in Reading (RF-Ri): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Pass ❑ Fail <br />Pass ❑ Fail <br />Pass ❑ Fail <br />Pass ❑ Fail <br />Was sensor removed for testing? <br />Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing'? <br />Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />Comments (include information on repairs made prior to testing and recommended follow-up forjailed tests) <br />' 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 <br />` asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />