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S WRCB, January 2002 Page 's of 7. UNDER -DISPENSER CONTAINMENT C TESTING Comments — (include information on re airs made rior to testin , and recommended follow -u for failed tests) ' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to my of the questions indicated with an asterisk(*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) thod Developed By: ❑ UDC Manufacturer ❑ Industry Standard rofessional Engineer ❑ Other (Specify) thod Used: LTest ❑ Pressure ❑ Vacuum "ydrostatic ❑ Other (Spec) ipment Used: Ce( /,rev ILev-e J;4,—jt e_,e JK Equipment Resolution: UDC Manufacturer: UDC Material: UDC Depth: Height from UDC Bottom to Top of Hi est Piping Penetration: UDc #1 L Z /�(�„ O L unc # 3 / _ �, UDC #s rn� unc # 7. 3" t Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to testing: Portion of UDC Tested'A/4/'loaeGL Does turbine shut down when l / /G" /3 W�fc�-LcLI7" Dr Gve�L�,,.�c. �� �jq�y. j.�►i UDC sensor detects liquid (both`i'es product and waterfl* No ❑ NA ! \\ Yes ❑ No ❑ NA ❑ No ❑ NA /LrYes ❑ No 11NA Turbine shutdown res once time Is system programmed for fail- safe shutdown?` wa C Yes ❑ No ❑ NA Nei- es ❑ No ❑ NA Yes ❑ No ❑ NA ❑ No ❑ NA Was fail-safe verified to be operational?* es ❑ No ❑ NA <Yes ❑ No ❑ NA es ❑ No ❑ NA JWs ❑ No ❑ NA Wait time between a lying pressure/vacuum and starting test Test Start Time: Initial Reading (Rj): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF -R,): Pass/Fail Threshold or Criteria:oZ,5 Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? /a-� 9; / 5 le-0�z elo q Q y%J.ue�, p ' U 3a lYi,i� ❑Pass ail es ❑ No ❑ NA es ❑ No ❑ NA lorYlnti� .17 40 .' 5 5 /J1,7t I✓d G oa s" 1on,� Pass ❑ Fail es ❑ No ❑ NA es ❑ No ❑ NA T $ d 44 -e4 --v / D; v� �o 7_1 5 , Dl1> �ooS Sv/n ❑ Pass LhZail es ❑ No ❑ NA )<Yes ❑ No ❑ NA ` 21 — d ,' D S DT�`r•*�G' ,v v �„- : ao5 36 Pass ❑ Fair ❑ No ❑ NA es ❑ No ❑ NA Comments — (include information on re airs made rior to testin , and recommended follow -u for failed tests) ' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to my of the questions indicated with an asterisk(*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160)