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' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to = of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />Page 5 of 8 <br />7. UNDER -DISPENSER CONTAINMENT QDC ) TESTING <br />Test Method Developed By: <br />U UDC Manufacturer U Industry Standard U Professional Engineer <br />U Other (Specify) <br />Test Method Used: <br />U Pressure U Vacuum <br />U Hydrostatic <br />13 Other (Specify) <br />Test Equipment Used: Equipment Resolution: <br />UDC # UDC <br />UDC <br />UDC Manufacturer <br />777 <br />UDC Material: <br />UDC Depth: <br />Height from UDC Bottom to Top of <br />Highest Pip!M Penetration: <br />Height from UDC Bottom to Lowest <br />Electrical Penetration: <br />Condition of UDC 'or to testing: <br />Portion of UDC Tested' <br />Does turbine shut down when UDC <br />sensori liquid (both product <br />U Yes Q No Q NA Q Yes U No U NA U Yes U No UNA <br />Q Yes Q No 0 NA <br />and waterV <br />Turbine shutdown response time <br />Is system programmed for fail-safe <br />U Yes Q No 0 NA Q Yes U No 0 NA U Yes 13 No U NA <br />Q Yes Q No U NA <br />shutdown7 <br />Was fail-safe verified to be <br />13 Yes Q No 13 NA Q Yes C) No Q NA G Yes 0 No 0 NA <br />0 Yes Q No Q NA <br />OREEgM47 <br />Wait time between applying <br />pressurelvacuum/water and staffing <br />test <br />Test Start Time: <br />Initial Reading (R): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -R): <br />Pass/Fall Threshold or Criteria: <br />Test Result: <br />0 Pass Q Fail 0 Pass Q Fail Q Pass 13 Fail <br />0 Pass Q Fail <br />Was sensor removed for testing? <br />U Yes Q No Q NA Q Yes U No Q NA U Yes 0 No Q NA <br />U Yes U NO Q NA <br />Was sensor properly replaced after <br />U Yes Q No 0 NA 0 Yes Q No Q NA 0 Yes LINO Q NA <br />C11 Yes Q No Q NA <br />testing? <br />Comments - (include inform abn on <br />Man� n&mL* grfEto liesdm, and recommended follow-up for tailed tests) <br />No UDC <br />' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to = of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />