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SWRCB, January 2002 Page_of <br /> 6. V"ER-DISPENSER CONTAUS-,-VIENT (LMCI TESTING <br /> Test Method Developed By: UDC Manufacturer C Industry Standard Professional Enidneer <br /> Other(Specify) <br /> Test Method Used: L-1- Pressure C Vacuum :1 Hydrostatic <br /> CE Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> .0 <br /> UDC# UDC# UDC# <br /> UDC Manufacturer: <br /> UDC Material: <br /> UDC Depth: <br /> Height from UDC Bottom to Top <br /> of I-lighest 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 E: Yes 0 No [/] A Yes/—No c Nx/" C:Yes L'NA EYes No NA <br /> product and water)?* <br /> Turbine shutdown response time <br /> Is system programmed for fail- <br /> safe shutdown?' Yes C N 0 NA ::Yes --i No �LA F_Yes/L-_No NA E Yes E_No 2 NA <br /> Was fail-safe verified to be <br /> operational?* Y <br /> L Yes 0 No 0 NA E.Yes No C NA 0 No j yes <br /> NA No C NA <br /> 4 F� <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test <br /> Test Start Time: <br /> Initial Reading(R4): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-RO: <br /> Pass/Fail Threshold or Criteria: <br /> Test Result:. 0 Pass 0 Fad El- Pass 0 Fail 0 Pan O.'Fail I U: Pass 0 Fail <br /> Was sensor removed,for testing? = Yes 1:No 0 NA 71 Yes ❑No :1 NAI =Yes 0 No 1:1 NA I LE Yes 7_j No :1 NA <br /> Was sensor properly replaced and II <br /> Yes E,No 0 NA Yes C No �]NA Yes �]No 0 NA -2 Yes E 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 /> 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"NX', the entire UDC must be tested. (See SWRCB LG-160) <br />