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UNDER -DISPENSER CONTAINMENT (UDCI TFSTIN6 Test Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard ❑ Professional Engineer ® Other (Specify) Caldwell Sump Tester Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic ❑ Other (Specify) Test Equipment Used: Caldwell Sump Tester Equipment Resolution: 0.005 inches in UDC# 1 UDC #2 UDC #3 UDC# UDC Manufacturer: Unknown Unknown Unknown UDC Material: Plastic Plastic Plastic UDC Depth: 6 inches 6 inches 6 inches Height from UDC Bottom to 0 inches 0 inches 0 inches Top of Highest Piping Penetration: Height from UDC Bottom to N/A N/A N/A Lowest Electrical Penetration: Condition of UDC prior to Dry Dry Dry testing: Portion of UDC Tested 6 inches 6 inches 6 inches Does turbine shut down when ®Yes ❑No ❑N/A UDC sensor detects liquid ®Yes ❑No ❑N/A ®Yes ❑No ❑N/A [—]Yes [:]No ❑N/A Turbine shutdown response 3 sec 3 sec 3 sec time Is system programmed for fail-safe shutdown ®Yes ❑No ❑N/A ®Yes ❑No [:]N/A ®Yes ❑No ❑N/A ❑Yes ❑No E] N/A Was fail-safe verified to be ®Yes ❑No ❑N/A operational ®Yes ❑No ®N/A ®Yes ❑No [—]N/A ❑Yes ❑No ❑N/A Wait time between applying pressure/vacuum/water and 5 minutes 5 minutes 5 minutes starting test Test Start Time: 10:50 10:55 11:00 Initial Reading (R): 2nd Ring 2"d Ring 2"d Rin Test End Time: 11:20 11:25 11:30 Final Reading (RF): 2"d Ring 2nd Ring 2nd Rin Test Duration: 30 minutes 30 minutes 30 minutes Change in Reading (RF -R,): 0 Change 0 Change 0 Change Pass/Fail Threshold or Criteria: 0.005 inches in 1/2 0.005 inches in 0.005 inches in 1/2 hour 1/2 hour hour Test Result: Pass Lj Fail N Pass Pass D Fail El Pass D Fail Fail Was sensor removed for ®Yes ❑No ❑N/A ®Yes ❑No ❑N/A ®Yes [—]No❑N/A ❑Yes ❑No [—]N/A testing? Was sensor properly replaced and verified functional after ®Yes []No ❑N/A ®Yes ❑No [—]N/A ®Yes ❑No ❑N/A [-]Yes ❑No ❑N/A testing? Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests)