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SWRCB, January 2002 Page of r,l= V Q 0131 ta 1 a 31 iZM 31AIKS I Q IF -A10 10 1 0 11111 Test Method Developed By: ❑ UDC Manufacturer industry Standard ❑ Professional Engineer ❑ Other (Specify) Test Method Used: ❑ Pressure 0 Vacuum ydrostatic D Other (Spec) Test Equipment Used: Equipment Resolution: -, UDC #5: UDC # UDC # UDC # UDC Manufacturer: UDC Material: UDC Depth: Height from UDC Bottom to Top of Highest Piping Penetration: , Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to testing: Portion of UDC Tested Does turbine shut down when UDC sensor detects liquid (both ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA product and water)?* Turbine shutdown response time Is system programmed for fail- safe shutdown?' ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was fail-safe verified to be operational?' ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Wait time between applying pressure/vacuum/water and starting test Test Start Time: Initial Reading ): Test End Time: Final Reading RF): Test Duration: Change in Reading F -RI): Pass/Fail Threshold or Criteria: Test Result: ❑ ' Pass © Fail U Pass 0 Fail ' : ❑ Pass ` ❑ Fail ❑` Pass ❑`Fail Was sensor removed for testing? ❑Yes ❑ No ❑ NAJDYes ❑Yes ❑ No 0 NA ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA Wa.s sensor properly replaced and verified functional after testin ? ❑ Yes ❑ No ❑ NA ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) r/0 ff04 y -- A-\6 `ice` ' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to gny of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160)