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SWRCB, January 2002 <br />7. UNDER -DISPENSER CnNTA1NMF.NT rrmr•� T�cTnarrV <br />Page 6 ofd <br />Test Method Developed By: ❑ UDC Manufacturer )4ndustry Standard ` ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum ,4�rIIydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: 5 <br />Equipment Resolution: <br />. -air .,iib . . .• „s .. <br />s707 <br />UDC t1' <br />UDC # <br />ULC ft' <br />UDC 17' <br />UDC Manufacturer: <br />UDC Material: <br />UDC Depth: <br />�R <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />U <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testing: <br />Portion of UDC Tested <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />_product and water)? <br />1_Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Turbine shutdown response timei- <br />Is system programmed for fail- <br />safe shutdown?* <br />9LYes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was fail-safe verified to be <br />operational?* <br />�'" 'yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />Test Start Time: <br />0-. Z4 Z (0 • •• <br />Initial Reading (Ri): <br />D, 1410 <br />Test End Time: <br />10:5-7 r f . <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Ri) <br />rr w i - e „`•� t <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />�R Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Was sensor removed for testing? <br />es ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />❑ Yes ❑ No ❑ NA <br />Was sensor properly replaced and <br />verified functional after testing? <br />�1-Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />❑Yes ❑ No ❑ NA <br />COMMentS — (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />' If the entire depth of the UDC is not tested, specify how much was tested. If the answer to My of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />