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i p <br />SWRCB, January 2002 <br />Page of <br />%. UlVlll�K-ll1JY1+1V�EKC ViV1Al1V1V1ElVl ULl 1r�111V1a <br />Test Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard ❑ Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: I Equipment Resolution: <br />UDC # UDC # I UDC # I UDC # <br />UDC Manufacturer: <br />UDC Material: <br />UDC Depth: <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 />Portion of UDC Tested <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?* <br />Turbine shutdown response time <br />Is system programmed for fail- <br />safe shutdown?* <br />Was fail-safe verified to be <br />operational?* <br />Wait time between applying <br />water and starting test <br />Test Start Time: <br />Initial Reading (Ri): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />Was sensor removed for testing? <br />Was sensor properly replaced and <br />verified functional after testing? <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />This UST System has No UDC's. <br />' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to aM of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />