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SWRCB,January 2002 Page of 7. ER-DISPENSER CONT NT MCI TERING Test Method Developed By: ❑UDC Manufacturer ❑Industry Standard Professional Engineer ❑Other(Spec) Test Method Used: ❑Pressure . ❑Vacuum ydrostatic ❑Other(Spec) Test Equipment Used:� w e v,, , 1 CIA t Equipment Resolution: 2, UDC# 9/ UDC# 101/Z— UDC# C# UDC Manufacturer: O'PC,) p P uJ UDC Material: r;b4•✓ P t.de- UDC Depth: J3 3' Z,l 3 ff 2„ Height from UDC Bottom to Tops I I Z( 11 , of Hi est Pi in Penetration: Height from UDC Bottom to Lowest Electrical Penetration: l Condition of UDC prior to 5 VA q t l a MOWA4. testing: bi`(% L� f i Portion of UDC Tested W-t4-,-r L, v k2 OV' Does turbine shut down when UDC sensor detects liquid(both ❑Yes �lo ❑NA ❑Yes 'RNo ❑NA ❑Yes o ❑NA ❑ ❑No ❑NA roduct and water)?' Turbine shutdown response time t3 Is system programmed for fail- ❑Yes, ❑No A ❑Yes ❑No A ❑Yes o ❑NA ❑Y ❑N ❑NA safe shutdown? Was fail-safe verified to be ❑Yes ❑No 54A ❑Yes ❑No A ❑Yes 10A ❑NA ❑Yes ❑ o ❑NA operational?* 4 Wait time between ing pressure/vacuum/ ater d starting test 16 t A_ S Test Start Time: (2,'35 2 v Initial Reading a,): Test End Time: l.' O S'� 490 Final Reading(RF): --ct,-e-,ke Test Duration: 30 r 30 Y Change in Reading(RF-R): u C.R,c W D Pass/Fail Threshold or Criteria: o 0 LUO i�— P" Test Result Pass ❑Fail Pass ❑Fail Ef Pass Q FailPass D Aail Was sensor removed for testing? Yes ❑No ❑NA es ❑No ❑NA ❑ es ❑No DNA ❑ es ❑No A Was sensor properly replaced and verified functional after testing? ^s ❑No ❑NA .N..Yes ❑No ❑NA Yes ❑No ❑NA Yes ❑No ❑ 1z Comments (include.in ormation on repairs mad®e�Lr�iyo/r to testing, and recommended ollow-u or�1 ailed tests)/ S'IM dt E i Ct m�c.0 w+� � �t 'e L ewt 14(®6! 0 � �E�� i�" gF f/D�`I d Di Q�ed jfese &VA et clG d -re& (e, I If the entire depth of the UDC is not tested,specify how much was tested If the answer to M of the questions indicated with an asterisk(*)is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160)