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From: Franzen -Hill Inc. To: 12094653433 Page: 3/3 Date: 2/1312015 3:45:56 PIVI <br />SWRCB, January 2002 <br />7. UNDER -DISPENSER CONTAINMENT (tTC),TESTING <br />Test Method Developed By: 13 UDC Manufacturers Industry Standard 0Profession' 1 <br />Cl Other (Specify) <br />Test Method Used: D Pressure 0 Vacuum D Hydrostatic <br />Li Other (opecilyj AIML41 UXjfifiL�h1'TA <br />Equipment Resolution; <br />Test Equipment Used: <br />of 7— <br />WOW'" <br />eer <br />Comments — include information on repair smade priorto tesyn&and recommended f <br />pllow-MeLoraided 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 SWRCB LG -160) <br />This fax was sent with GFI FAXmaker fax server. For more information, visit: hftp://www.gfi.com <br />4 <br />UDC # *5- UDC UDC # UDC# <br />UDC Manufacturer: <br />L UDC Material: <br />UDC Depth: <br />:ak <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />Height.ftorww Bottom to <br />`Z <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testing: <br />Portion of UDC Tested' <br />Aff ATIF <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />0 Yes LJ No KNA DYes nNo V(NA n Yes D No 0 NA <br />OYes ONo DNA <br />ro <br />pduct ahI d water)?* <br />Turbine shutdown response time <br />VA <br />Is system programmed for fail- <br />0 Yes D No gNA DYes 0 No )q NA 0 Yes 0 No 0 NA <br />0 Yes 0 No a NA <br />safe shutdown?* <br />Was fail-safe verified to be <br />0 Yes 0 N XNA DYes ONo )ONA OYes DNo DNA <br />0 Yes 0 No 0 NA <br />operationalf <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />Test Start Time: <br />ritflA#m A" <br />Initial Reading (Rj): <br />c.'s-wks" <br />Test End Time: <br />0:9( && <br />Final Reading (RF): <br />;57. t I 16s,* S. (e3S7- 10 <br />Test Duration: <br />Change In Reading (RF-Rj): <br />Pass/Fail Threshold or Criteria: <br />Y i(I <br />Was sensor removed for testing? <br />Yes 0 No 0 NA "Yes ONo 0 NA D Yes D No 0 NA <br />0 Yes 0 No 0 NA <br />Was sensor properly replaced and <br />0 Yes 0 No <br />P(Yes 0 No DNA )(Yes 0 N DNA DNA <br />Ll Yes DNo DNA <br />verified functional after test <br />1 <br />Comments — include information on repair smade priorto tesyn&and recommended f <br />pllow-MeLoraided 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 SWRCB LG -160) <br />This fax was sent with GFI FAXmaker fax server. For more information, visit: hftp://www.gfi.com <br />4 <br />