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a <br />SWRCB, January 2002 <br />v <br />Page of <br />7. UNDER -DISPENSER CONTAINMENT (UDC) TESTING <br />Test Method Developed By: 0 UDC Manufacturer Industry Standard 0 Professional Engineer <br />0 Other (Spec) <br />Test Method Used: 0 Pressure Vacuum X Hydrostatic <br />(1 Other (Specify) <br />Test Equipment Used: UST 2001 probes or Air Bellows gauging system <br />SEMEN= UDC # reel UDC # <br />Equipment Resolution: 0.001 " / 0.005" <br />MEEMEMMMEM <br />UDC # UDC # <br />UDC Manufacturer: <br />UDC Material: <br />Fiberglass <br />UDC Depth: <br />3.5 feet <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testing: <br />Clean <br />Portion of UDC Tested' <br />2" + product <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?* <br />0 Yes 0 No 0 NA <br />0 Yes <br />0 No 0 NA <br />[]Yes <br />0 No 0 NA <br />0 Yes <br />0 No 0 NA <br />Turbine shutdown response time <br />Is system programmed for fail- <br />safe shutdown? <br />0 Yes 0 No 0 NA <br />0 Yes <br />0 No 0 NA <br />0 Yes <br />0 No 0 NA <br />0 Yes <br />0 No 0 NA <br />Was fail-safe verified to be <br />o rational?` <br />Yes No NA <br />D D 0 <br />D Yes <br />No NA <br />D D <br />D Yes <br />No NA <br />D D <br />D Yes <br />D No 0 NA <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />10 mins <br />Test Start Time: <br />0 <br />Initial Reading (RI): <br />7.163 <br />Test End Time: <br />30 <br />Final Reading (RF): <br />7.163 <br />Test Duration: <br />30 mins <br />Change in Reading F-Rj : <br />0.000 <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Pass <br />® Pass 0 Fail <br />® Pass 0 Fail <br />0 Pass 0 Fail <br />Was sensor removed for testing? <br />0 Yes 0 No 0 NA <br />0 Yes <br />0 No 0 NA0 <br />Yes <br />0 No 0 NA <br />0 Yes <br />0 No [INA <br />Was sensor properly replaced and <br />verified functional after testing? <br />ro Yes 0 No 0 NA <br />ro Yes <br />0 No 0 NA0 <br />Yes <br />0 No 0 NA <br />0 Yes <br />0 No 0 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 SWRCB LG -160) <br />