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S WRCB,January 2002 • • Page 5 of 7. UNDER-DISPENSER CONTAINMENT(UDQ TESTING est Method Developed By: 0 UDC Manufacturer ❑Industry Standard ❑Professional Engineer ❑Other(Spec6) Test ethod Used: ❑Pressure .. ❑Vacuum ❑Hydrostatic ❑Other(Sped) Test Equipm t Used: Equipment Resolution: v: m 6 .. ;q N •'.tl: :• s'""'�.'•" . 'u..T' 4iJ`4IN. .;k- n0.YhYhn .F: -�E_- A '.eti N ',.Hft a' UDC# UDC# UDC# # UDC Manufacturer: UDC Material: UDC Depth: 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 ❑Yes ❑No ❑NA es o ❑NA ❑Yes ❑No ❑NA ❑Yes 0 No ❑NA roduct and water)?* Turbine shutdown response time Is system programmed for fail- safe shutdown?* ❑Yes ❑No ❑ ❑Yes ❑No A ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA Was fail-safe verified to be operational?' ❑Yes ❑N ❑NA ❑Yes ❑No ❑NA Yes ❑No ❑NA ❑Yes ❑No ❑NA Wait time between applying pressure/vacuum/water and starting test Test Start Time: Initial Re din (R�: Test End Time: Final Reading(RF): Test Duration: Chan a in Readin Rj): Pass/Fail Thres d or Criteria: Test Resu . ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail ❑ Pass ❑NJ Was sen r removed for testing? ❑Yes ❑No ❑NA ❑Yes ❑No [INA ❑Yes ❑No ❑NA ❑Yes ❑No ❑NA Was son properly replaced and verified functional after testis ? ❑yes ❑No ❑NA ❑Yes ❑No [INA ❑Yes ❑No ❑NA ❑Yes ❑No 11 NA] Comments—(include information on repairs made prior to testing and recommended ollow-up or failed tests) 0 C 5 . 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",NA",the entire UDC must be tested. (See SWRCB LG-160)