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1 ifthe entire depth of the UDC is not tested, specify how much was tested. If the answer to my of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) S WRCB, January 2002 Page of _ 7. UNDER -DISPENSER CONTARIMENT MCI TESTING Test Method Developed By: ❑ UDC Manufacturer �ndustry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: ❑ Pressure ❑ Vacuum j<Hydrostatic ❑ Other (Spec) Test Equipment Used: Equipment Resolution: UDC # 14a UDC # 34 UDC # UDC # UDC Manufacturer; UX AC. UDC Material: UDC Depth: Height from UDC Bottom to Top of Highest Piping Penetration: " ' Height from UDC Bottom to Lowest Electrical Penetration: C( `' '" 21 Condition of UDC prior to testing: , Portion of UDC Tested 2- ., 2 -A 6.-.c ,. +' Does turbine shut down when UDC sensor detects liquid (both ❑ Yes❑ A ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA :��NoO product and water)?* Turbine shutdown response time Is system programmed for fail- safe shutdown? p Yes ❑ No ❑ NA No ❑ NA No ❑ NA ❑ Yes ❑ No ❑ NA Was fail-safe verified to be o erational?` 11❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA o ❑ NA Wait time between applying pressure/vacuum/water and .starting test ., Test Start Time: ! jnoj. Initial Reading �2 Test End Time: 0 Final Reading (RF): -7 1 b Test Duration Chan a in Readin F -RI): Pass/Fail Threshold or Criteria: r- Was sensor removed for testing? ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Was sensor properly replaced and verified functional after testis ? ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ,COMMentS — (include information on repairs made prior to testing and recommended follow-up for failed tests 1 ifthe entire depth of the UDC is not tested, specify how much was tested. If the answer to my of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160)