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Page 5 of 8 <br />r. UNUM-uwrtNbtrc VUN i NmmtN a Ut; I is l iNv <br />Test Method Developed By: ❑ Sump Manufacturer ® Industry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum 21 Hydrostatic <br />❑ Other (Specify) <br />Test Eauioment Used: Caldwell I Eauioment Resolution: .0025 <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 "NA", the entire UDC must be tested. (See SVWRCB LG -160) <br />uoc # 1/2 <br />UDC # 3/4 UDC # 5/6 <br />UDC # 7/8 <br />UDC Manufacturer: <br />UK <br />UK UK <br />UK <br />UDC Material: <br />Plastic <br />Plastic Plastic <br />Plastic <br />UDC Depth: <br />24" <br />24" 24" <br />24" <br />Height from UDC Bottom to Top of <br />Highest Piping Penetration: <br />14" <br />14" 14" <br />14" <br />Height from UDC Bottom to Lowest <br />Electrical Penetration: <br />4" <br />4" 4" <br />4" <br />Condition of UDC prior to testing: <br />Dry <br />Dry D <br />Dry <br />Portion of UDC Tested' <br />Does turbine shutdown when UDC <br />sensor detects liquid (both product <br />and water)?* <br />❑ Yes LI M 0 M <br />❑.Yes 13 No ®.NA ❑ Yes ❑ No ® NA <br />❑ Yes ❑ No 10 NA <br />Turbine shutdown response time <br />Is system programmed for fail-safe <br />shutdown?' <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ® NA ❑ Yes ❑ No IM NA <br />❑ Yes ❑ No ® NA <br />Was fail-safe verified to be <br />operational?* <br />❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ® NA ❑ Yes ❑ No ® NA <br />❑ Yes ❑ No ® NA <br />Wait time between applying <br />pressure/vacuum/water and starting <br />test <br />Test Start Time: <br />12:40 <br />12:20 12:10 <br />12:10 <br />Initial Reading (R!): <br />.0025 <br />.0025 .0025 <br />.0025 <br />Test End Time: <br />01:10 <br />12:50 12:40 <br />12:40 <br />Final Reading (RF): <br />.0025 <br />.0025 .0025 <br />.0025 <br />Test Duration: <br />1/2 hr <br />1/2 hr 1/2 hr <br />1/2 hr <br />Change in Reading (RF -R!): <br />0 <br />0 0 <br />0 <br />Pass/Fail Threshold or Criteria: <br />Test [tti <br />Was sensor removed for testing? <br />©Pass ❑: FaiE��. <br />Ox Yes ❑ No ❑ NA <br />a Pass; [ �Faif,': LRT Pass` U'Fail <br />❑O Yes ❑ No ❑ NA ❑x Yes ❑ No ❑ NA <br />L3; Pass] Fate, <br />IM Yes ❑ No ❑ NA <br />Was sensor properly replaced after <br />testing? <br />®Yes ❑ No ❑ NA <br />® Yes ❑ No ❑ NA ® Yes ❑ No ❑ NA <br />® Yes ❑ No ❑ NA <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 "NA", the entire UDC must be tested. (See SVWRCB LG -160) <br />