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01/08/2010 10:06 FAX 916 <br />371 2380 BZ <br />SERVICE STATION <br />2006 <br />SWRCB, January 2002 <br />Page of <br />7. <br />UNDER -DISPENSER, COIVTAI t1YIENT <br />TESTING - <br />Test Method Developed By; <br />Q UDC Manufacturer PoStandard <br />❑ Profossionai 811gineer <br />Cl ®that {Spec{}y) <br />Test Method Used: <br />❑ Pressure <br />❑ Vacuum <br />Iydrostatic <br />❑ Other (Spect� fy) <br />Test Equipment Used: <br />Egaipm,snt Resolution: <br />UDC Manufachlrt:r: <br />UDC # <br />CFDC # <br />UDC # 1 <br />UDC .Material; <br />� <br />UDC Depth; <br />Hel t from UDC Bottom to Top <br />. <br />of Hi hest P.Ding Penetration: <br />Height frons UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of MC prior to <br />` +' <br />testis : <br />Portion of UDC Tested <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />roduct and water)?* <br />0 Yes ❑ A <br />❑ Yes ONO Cj NA <br />❑ Yes 0 No <br />rj NA No ❑ NA <br />Turbine shutdown res ansa tirxte <br />Is system programmed for fail- <br />safe shutdown?" <br />❑ Yes ❑ No DNA <br />No 0 NA <br />o <br />DNA ❑ Yas 0 No 0 NA <br />Was fait -safe verified to be <br />o erational?' <br />0 ❑ No DNA <br />❑ Yes 0 No 0 NA <br />© Yes ❑ No <br />D NA o ❑ NA <br />Wait tuns between applying <br />pressure/vacuum/water and <br />End Time: i <br />COMMents — Include in ormativn on re airs made prior to testing. and ra6nn1K,o_.4a,4 4-11-. _._ s_ f_ , <br />' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to any of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested, (See SWRCB LC -160) <br />Is- <br />