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SWRCB, January 2002 0 Page 5 of f <br />7. UNDER -DISPENSER CONT NT C TESTING <br />Test Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard ' b;�Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑Pres e ❑ Vacuum ❑, hydrostatic <br />❑ Other (Spec) <br />-, EquipmeTest Equipment Used: - e _.Ia nt Resolution: . <br />�.. <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Ifthe entire depth of the Lf DC is not tested, specify how rnrsch was tested. Ifthe answer to any of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire CJDC must be tested. (See SVdRCB i_G-160) <br />UDC # 1 9®� ; `> t, <br />UDC # <br />UDC # <br />UDC # <br />UDC Manufacturer: <br />UDC Material: <br />t' <br />UDC Depth: <br />f > s, <br />Height from UDC -Bottom to Top <br />of Hi est Piping Penetration: <br />s <br />f <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testing: <br />Portion of UDC Tested <br />Gt1_ {,�� ipx.,© s. r,�r `',.1-K <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?* <br />es ❑ No ❑ NA <br />0Yes ❑ No ❑ NA <br />❑ Yest ❑' o ❑ NA <br />F <br />❑ Yes ❑ 146 <br />x <br />❑ NA <br />Turbine shutdown response time <br />, <br />Is system programmed for fail- <br />safe shutdown? <br />es ❑ No ❑ NA <br />�. <br />❑" Yes ❑ No 11 NA <br />f <br />❑ Yes D No ❑ NA <br />❑ Yes �D No <br />❑ NA <br />Was fail-safe verified to be <br />operational? <br />� <br />❑ Yes 'No El <br />❑Yes (� No ❑ NA <br />F1 Yes ❑ No 11 NA <br />11 Yes tO'$No <br />11 NA <br />Wait time between a lying <br />pressure/vacuuter d <br />startingtest - <br />Test Start Time: <br />Initial Reading <br />Test End Time: <br />Final Reading RF): <br />-� r' / • a , . r <br />F~ <br />Test Duration: <br />3/)r-�:�t,..�,t._�� <br />Change in Reading (RF-Rj): <br />Pass/Fail Threshold or Criteria: <br />F <br />Test Result: <br />dam, Pass ❑ Fail <br />t, Pass ❑ Fail <br />j0 Pass ❑ Fail <br />p Pass ❑ Fail, <br />Was sensor removed for testing? <br />V Yes ❑ No ❑ NA <br />❑ No ❑ NA <br />Yes ❑ No ❑ NA <br />D Yes ❑ No <br />❑ NA <br />Was sensor properly replaced and <br />verified functional after testin ? <br />ges ❑ No ❑ NA <br />% " <br />.RYes ❑ No ❑ NA I/OYes <br />❑No ❑N <br />❑Yes ❑No <br />❑NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Ifthe entire depth of the Lf DC is not tested, specify how rnrsch was tested. Ifthe answer to any of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire CJDC must be tested. (See SVdRCB i_G-160) <br />