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UNDER -DISPENSER CONTAINMENT (UDCI TESTING 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 UDC# 1 UDC #2 Equipment Resolution: 0.005 inches in 1/2 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 Top of Highest Piping Penetration: 0 inches 0 inches 0 inches Height from UDC Bottom to Lowest Electrical Penetration: N/A N/A N/A Condition of UDC prior to testing: Dry Dry Dry Portion of UDC Tested 6 inches 6 inches 6 inches Does turbine shut down when UDC sensor detects liquid ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A ❑Yes No ®N/A ❑ ❑Yes No N ❑❑.� Turbine shutdown response time N/A N/A N/A Is system programmed for fail- safe shutdown ❑} cs ❑No ®N/A ❑Yes [:]No ®N/A Yes No ®N/A ❑ ❑ Yes NN, A ❑ ❑u ❑ ailf Was ail -safe verified to be o s nal ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A ❑Yes ❑No ®N/A [:]Yes ❑No ON A Wait time between applying pressure/vacuum/water and starting test 5 minutes 5 minutes 5 minutes Test Start Time: 14:00 14:15 14:30 Initial Reading (R,): 2" Rin 2 "d Rin 2 "d Rin Test End Time: 14:30 14:45 15:00 Final Reading (RF): 2"riing 2" Ring 2° Rin Test Duration: 30 minutes 30 minutes 30 minutes Chane in Reading (RF—RI): 0 Chane 0 Chane 0 Change Pass/Fail Threshold or Criteria: 0.005 inches in 1/2 hour 0.005 inches in 1/2 hour 0.005 inches in 1/2 hour Test Result: ® Pass El Fail ® Pass El Fail 0 Pass 0 Fail 0 Pass LJ Fail Was sensor removed for testing? ❑Yrs T7No N/A LJYes UNo N/A LJYes LJNo N/A ❑Yes No N/A Was sensor properly replaced and verified functional after testing? []Yes❑No ®N/A ❑Yes ❑No ®N/A ❑Yes ❑IVo ®IV/A ❑Yes [:]No❑N/A Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests)