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SWRCB, January 2002 <br />0 Page of <br />Comments — (include h1formation on repairs made prior to testing, and recointiietidedfolloiti,-itpfor failed tests) <br />lftl.ie entire depth of the UDC is not tes-ted, specify how much was tested. If the answer to gny of the questions indicated with an <br />aster (I-) is "N',)'* or"NA", the enti-e- UDC must be tested. (See SWRCB LG -160) <br />Test Method Developed By: UDC Manufacturer ndustry Standard 0 Professional Engineer <br />Other (Specify) <br />Test Method Used: Pressure 0 Vacuum hydrostatic <br />Other (Specify) <br />Test Equipment Used : <br />- <br />Equipment Resolution: <br />Zr <br />UDC <br />Y <br />UDC# <br />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 />Portion of UDC Tested' <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?* <br />Yes 0 No _0 NA <br />0 Yes 0 No 0 NA <br />CO Yes 0 No = NA <br />0 Yes 0 No 0 NA <br />Turbine shutdown response time <br />Is system programmed for fail- <br />safe shutdown?* <br />--Yes ONo, __-NA <br />OYes ONo E!NA <br />0 -Yes ONo -.NTA <br />L7 Yes 0 No 0 NA <br />Was fail-safe verified to be <br />oper ional?* <br />Yes 0 No NA <br />❑0 Yes ❑El No ❑E NA <br />❑0 Yes 0 No NA <br />D Yes 0 No 0 NIA <br />Wait time between applying <br />pressureNacuumAvater and <br />starting test <br />Test Start Time: <br />Initial Reading (Rj): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -R,): <br />Pass/Fail Threshold or Criteria: <br />"rest Result: <br />❑ Pass Fj Fail <br />0 Pass 0 Fail 1 <br />Q Vass 0 Fail <br />0 Pass 0 Fail <br />Was sensor removed for testing? <br />AV,'as sensor properly replaced and <br />verified functional aft <br />ter testing? <br />Yes 0 No NA <br />E'N <br />es U 0 NA <br />0 Yes El No 0 NA <br />0 Yes 0 No ETNA <br />0—Yes D No _- NA <br />0 Yes 0 No _7 NA <br />[i Yes 0 No 0 NA <br />0 Yes 0 No 0 NA <br />Comments — (include h1formation on repairs made prior to testing, and recointiietidedfolloiti,-itpfor failed tests) <br />lftl.ie entire depth of the UDC is not tes-ted, specify how much was tested. If the answer to gny of the questions indicated with an <br />aster (I-) is "N',)'* or"NA", the enti-e- UDC must be tested. (See SWRCB LG -160) <br />