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SWRCB January 2002 7. UNDER -DISPENSER CONTAINMENT Page C TESTING of Test Method Developed By: 0 UDC Manufacturer 0 Other (Spec) 26ndustry Standard 0 Professional Engineer Test Method Used: 0 Pressure 0 Other (Spec) 0 Vacuum Nillydrostatic Test Equipment Used: UDC # UDC # Equipment Resolution: UDC # UDC # UDC Manufacturer: A UDC Material: UDC Depth: E� Height from UDC Bottom to Top of Highest Piping Penetration: � Height from UDC Bottom to Lowest Electrical Penetration: _ Condition of UDC prior to testing: i Portion of UDC Tested '' Does turbine shut down when UDC sensor detects liquid (both product and water)?* 0 0 No A 0 Yes ❑ No DNA ❑ Yes 0 No 0 NA ❑ Yes 0 No 0 NA Turbine shutdown response time Is system programmed for fail- safe shutdown?* 0 yes ON 0 NA 0 Yes 0 No ❑ NA 0 Yes ❑ No 0 NA ❑ Yes 0 No 0 NA Was fail-safe verified to be :o erational?` es ❑ No 0 0 Yes ❑ No O NA ❑Yes ❑ No ❑ NA ❑Yes 0 No 0 NA Wait time between applying pressure/vacuum/water and stan test 'Test Start Time: I No Initial Reading , Test End Time: ; 'y Final Reading (RF Test Duration: Change in Reading (RF -RI): L Pass/Fail Threshold or Criteria: Was sensor removed for testing? ❑ Yes 0 No ❑ NA 0 Yes ❑ No DNA ❑ Yes ❑ No ❑ NA ❑ Yes 0 No 0 NA Was sensor properly replaced and verified functional after testing? 0 Yes 0 No DNA ❑ Yes 0 No DNA 0 Yes 0 No 0 NA 0 Yes 0 No 0 NA Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) If the entire depth of the UDC is not tested, specify how much was tested. If the answer to 1y of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160)