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SWRCE1, January 2002 Page of <br />7. UNDER -DISPENSER CONTAPOMNT ETC) TESTING <br />Test Method Developed By: 0 UDC Manufacturer 0 industry Standard \04�ofessional Engineer <br />0 Other (Specify) <br />Test Method jWed: 1, F]. Pressure Vacuum--,.,-,-. C,�Hydrostatic <br />Other (Specify) <br />Test Equipment Used: n? Id, 1 (a i / Jol (, ("If, Equipment Resolution: <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 c.iny of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC rnust be tested. (See S WRCB LG -160) <br />UDC 7.S <br />UDC # UDC # <br />UDC # <br />UDC Manufacturer: <br />J, <br />UDC Material: s <br />67, 3. -,,- <br />UDC Depth: ,;Ye <br />Height from UDC Bottom to Top <br />of Hi est Piping Penetration: <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testing: <br />Portion of UDC Tested4_/_ <br />Does turbine shut down when <br />'D <br />UDC sensor detects liquid (both ' Yes 0 No 0 NA <br />gYes 0 No 0 NA D Yes No /'DNA <br />0 Yes El No 11 NA <br />product and water ?° <br />Turbine shutdown response time _V,)j <br />Is system programmed for fail- s 0 No 0 NA <br />0 No DNA 0 Yes 11 N� DNA <br />0 Yes 0 No DNA <br />safe shutdown?* <br />'RYes <br />Was fail-safe verified to be <br />0 Yes gNo 0 NA <br />0 Yes 0 NA 0 Yes 0�o 0 NA <br />0 Yes icl No DNA <br />operational?* <br />/�,D-No <br />I <br />Wait time betweep appl�ing <br />pressure/vacuumAvater -and <br />starting test <br />P/ <br />Test Start Time: <br />Initial Reading (Ri): <br />C"! r <br />k <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: "n <br />fl <br />Change in Reading (RF -RI): 0 o <br />'kit <br />Pass/Fail Threshold or Criteria: <br />It <br />Test Result: 11 Pass 0 Fail <br />12 -Pass 0 Fail D Pass o Fail <br />0 Pass 0 Fall <br />Was sensor removed for testing? ,QYes 11 No 0 NA <br />1'�Yes 0 No DNA D Yes 0 No 1NA <br />0 Yes GNo 0 NA <br />Was sensor properly replaced andd <br />�es 0 No D NA <br />i <br />0'yes 0 No DNA 0 Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />verified functional after testina? <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 c.iny of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC rnust be tested. (See S WRCB LG -160) <br />