COMPLIANCE INFO_1997-2012 - Laserfiche WebLink

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Jul 07 08 11:47a p.5 Environmental Testing Service Vapor • secondary • Monitors • Mai ER -DISPENSER CONT ANT (UDQ TESTING Test Method Developed By. ❑ UDC Manufacturer O Industry Standard ® Professional Engineer ❑ Other (Specify) Test Method Used: ❑ Pressure O Vacuum ®Hydrostatic ❑ Other (Spec) Test Fgtdpment TTcp,4- VAAT T2arrrtF Qrem» T^cte FnninT" T?eseleLit; n- A,; (tni+ 1 h r --t, .t.....-- .. .. 1". T Comments —(include information on repairs made prior to testing; and recommended follow-up for failed tests) 1 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) 5440 Henness Gap Rd., Garden Valley, CA 95633 - Phone: (530) 333-1063 - Cell: (530) 392-0610 UDC # UDC # UDC # UDC # UDC Manufacturer: Bravo UDC Material: FRP UDC Depth: 1231 Height from. UDC Bottom to Top Bottom -ofHighest Piping Penetration: Height from UDC Bottom to Bottom Lowest Electrical Penetration: Condition of UDC prior to Good testis Portion of UDC Tested All Does turbine shut down when UDC sensor detects liquid (both ❑ Yes D No IN D Yes ❑ No DNA ❑ Yes D No DNA a Yes ❑ No ❑ NA product and water)?' NA Turbine shutdown response time Is system programmed for fail- safe shutdown?` D Yes ❑ No ®NA O Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No DNA Was fail-safe verified to be operational?* D Yes ❑ No ®NA ❑ Yes ❑ No O NA O Yes ❑ No ❑ NA D Yes O No ❑ NA Wait time between applying 15 Min. pressure/vacuum/water and starting test Test Start Time: 11:00 Am Initial Reading (R1): 550ml Test End Time: 11:30 Am Final Reading (RF): 550 ml Test Duration: 30 Min. Change in Readin (RF -RT): 0.0 Pass/Fail Threshold or Criteria: .05 gph Test Result IN Pass ❑ Fail O Pass ❑ Fail D Pass ❑ Fail O Pass O Fail Was sensor removed for testing? QYes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA D Yes O No ❑ NA D Yes ❑ No ❑ NA Was sensor properly replaced and verified functional after testing? ®Yes ❑ No DNA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes D No ❑ NA Comments —(include information on repairs made prior to testing; and recommended follow-up for failed tests) 1 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) 5440 Henness Gap Rd., Garden Valley, CA 95633 - Phone: (530) 333-1063 - Cell: (530) 392-0610