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*ftool _ 01111111IF11115 -F/C <br /> Page 5 of 8 <br /> 7. UNDER-DISPENSER CONTAINMENT(UDC)TESTING <br /> Test Method Developed By: I7 UDC Manufacturer O Industry Standard ❑ Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑Pressure I7 Vacuum Hydrostatic <br /> 7 Other(Specify) <br /> Test Equipment Used: LAKE Test Equipment Resolution: <br /> UDC # 1/ 2 UDC # 3/ 4 UDC # 5/ 6 UDC # 7/ 8 <br /> UDC Manufacturer: Unknown Unknown Unknown Unknown <br /> UDC Material: F.G F.G F.G F.G <br /> UDC Depth: 30" 30" 30" 30" <br /> Height from UDC Bottom to Top of 8" 8" 8" 8" <br /> Highest Piping Penetration: <br /> Height from UDC Bottom to Lowest 13" 13" 13" 13" <br /> Electrical Penetration: <br /> Condition of UDC prior to testing: Dry Dry Dry D <br /> Portion of UDC Tested' <br /> Does turbine shut down when UDC <br /> sensor detects liquid(both product I]Yes O No ® NA O Yes ❑ No ® NA ❑ Yes U No ® NA ❑Yes ❑ No © NA <br /> and water)'* <br /> Turbine shudown response time <br /> Is system programmed for fail-safe p Yes ❑ No ® NA ❑Yes ❑ No IM NA O Yes ❑ No ® NA O Yes ❑ No IM NA <br /> shutdown?' <br /> Was fail-safe verified to be ❑Yes O No IM NA O Yes O No IM NA O Yes O No ® NA ❑Yes ❑ No ® NA <br /> operational?' <br /> Wait time between applying 5 minutes 5 minutes 5 minutes 5 minutes <br /> pressure/vacuum/water and starting <br /> test <br /> Test Start Time: 05:15 PM 05:15 PM 05:15 PM 05:15 PM <br /> Initial Reading(Ri): 11 1/4" 11 3/8" 11 3/4" ---- <br /> Test End Time: 06:15 PM 06:15 PM 06:15 PM ---- <br /> Final Reading(RF): 11 1/2" 11 3/8" 11 3/4" ---- <br /> Test Duration: 1 hour 1 hour 1 hour ----- <br /> Change in Reading(RF-Ri): 0 0 0 - - <br /> Pass/Fail Threshold or Criteria: 0 0 0 <br /> Test Result: © Pass ❑ Fail O Pass ❑ Fail O Pass ❑ Fail Pass 0 Fail <br /> Was sensor removed for testing? ©Yes ❑ No ❑ NA © Yes ❑ No ❑ NA ® Yes ❑ No I7 NA ® Yes ❑ No ❑ NA <br /> Was sensor properly replaced after pp Yes ❑ No ❑ NA ® Yes O No O NA IM Yes LI No O NA ®Yes ❑ No C3 NA <br /> testing? <br /> Comments-(include information on repairs made prior to testing,and recommended follow-up for failed tests) <br /> 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 <br /> asterisk(•)is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160) <br />