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' N S WRCB,January 2002 Page V2j Of 7• UNDER-DISPENSER CONTAINMENT C TESTING Test Method Developed By: ❑UDC Manufacturer ❑Industry Standard Professional Engineer i; ❑Other(Spec) f Test Method Used: ❑Pressure ❑Vacuum ydrostatic ❑Other(Spec) Test Equipment Used er,raEquipment Resolution: CP ��z t�`1 ►� UD u ItRAt ... ',.. vLC tt a-$ UDC#a3 S UDC#x s a UDC#d- S UDC Manufacturer. UDC Material: n V1 n o � UDC Depth: ?" ?f ft � Height from UDC Bottom to Top of Highest Piping Penetration: ' ' ,�i It t Height from UDC Bottom to Lowest Electrical Penetration: ` J Xt Condition of UDC prior to testing: Portion of UDC Tested j ry ' l , Does turbine shut down when UDC sensor detects liquid(both es ❑No ❑NA es ❑No ❑NA Yes product and water)? ❑No ❑NA es ❑No ❑NA Turbine shutdown response time iN d te, C! "0 Is system programmed for fail- Wu �' lug safe shutdown?* Yes ❑No ❑NA AYes, ❑No ❑NAes ❑No ❑NA es ❑No ❑NA Was fail-safe verified to be operational?* ❑Yes C*o ❑NA ❑Yes o ❑NA ❑Yes �*o ❑NA ❑Yes�o ❑NA Wait time betwee ying pressure/vacu waterd startinja test lv t-n rt,.-(A to r,-k%u vt �-es r^)t,�u� {S l p M-1 to V� Y Test Start Time: 8,qU 8: 3>" : 3 0 Initial Readin 2-,57 TestEnd Time: /D Y., Final Read ng(RF): Test Duration: 3 0 rA w Change in Reading(RF-RI): ti v Pass/Fail Threshold or Criteria: 16 vAF i 10"Pt a U,T,ijR, t kv 30 w l Prri e- rq 30 nV K- Test Result: Pass ❑Fail Pass ❑Fail Pass ❑Fail &es ss ❑Fail Was sensor removed for testing? es ❑No ❑NA es ❑No ❑NA es ❑No ❑NA ❑No ❑NA Was sensor properly replaced and verified functional after testing? Yes ❑No ❑NA X'es ❑No ❑NA AYes ❑No ❑NA W:,'�es ❑No ❑NA Comments-(include..information on repairs made prior to testing and recommended follow up for failed tests) ' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to M of the questions indicated with an asterisk(*)is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160)