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SWRCB,January 2002 XXI. UNDER-DISPENSER CONTAINMENT TESTING INFORMATION Test Method Developed By: ❑UDC Manufacturer 2 Industry Standard ❑Professional Engineer ❑Other(Spec) Test Method Used: ❑Pressure ❑Vacuum 0 Hydrostatic ❑Other(Spec) Test Equipment Used:IC1C011 Equipment Resolution:0.002" UDC#12 UDC#3-4 UDC#5-6 UDC#7-8 UDC Manufacturer: Unknown Unknown Unknown Unknown UDC Material: Fiberglass Fiberglass Fiberglass Fiberglass UDC Depth: 30" 30" 30" 30" Height from UDC Bottom to Top 12" 12" 12" 12" of Highest Piping Penetration: Height from UDC Bottom to N/A N/A N/A N/A Lowest Electrical Penetration: Condition of UDC prior to Clean and dry Clean and dry Clean and dry Clean and dry testing: Portion of UDC Tested 16" 16" 16" 16" Does turbine shut down when Yes ❑No 2 NA UDC sensor detects liquid(both ❑Yes ❑No 0 NA 2 Yes ❑No 2 NA ❑Yes ❑No 2 NA product and water)?* Turbine shutdown response time N/A N/A N/A N/A Is system programmed for fail- ❑Yes ❑No 2 NA safe shutdown?4 ❑Yes ❑No 2 NA ❑Yes ❑No C;NA ❑Yes ❑No ,NA Was fail-safe verified to be ]Yes ❑No 0 NA ❑Yes ❑No 0 NA ❑Yes ❑No 2 NA ❑Yes ❑No 2 NA operational?* Wait time between applying pressure/vacuum/water and 30 minutes 30 minutes 30 minutes 30 minutes starting test Test Start Time: 11:35 AM 11:13 AM 10:30 AM 10:30 AM Initial Reading (RI): 4.688" 4.834" 4.459" 3.297" Test End Time: 11:50 AM 11:28 AM 10:45 AM 10:45 AM Final Reading(RF): 4.688" 4.835" 4.458" 3.296" Test Duration: 15 minutes 15 minutes 15 minutes 15 minutes Change in Reading RF-RI : 0.000" 0.001" 0.001" 0.001" Pass/Fail Threshold or Criteria: 0.002" 0.02" 0.002" 0.002" Test Result: Z Pass ❑Fail 2 Pass ❑Fail 9 Pass ❑Fail Z Pass ❑Fail Was sensor removed for testing? vI Yes I No ❑NA 2 Yes ❑No ❑NA 2 Yes ❑No ❑NA 2 Yes ❑No ❑NA Was sensor properly replaced and Lvi Yes ❑No ❑NA 2 Yes ❑No ❑NA 2 Yes ❑No ❑NA 2 Yes ❑No ❑NA verified functional after testing? Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) '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 asterisk(*)is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160)