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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 asterisk (-) is "NO" or "NA", the entire UDC must be tested. (See SWR.CB LG -160) SWRCB, January 2002 page of i, ER-DISPENSER CONT 14WNT TES'T'ING Test Method Developed By: UDC Manufacturer Industry Stan Professional Engineer Other (Spec) Test Method Used: Presence Vacuum Hydrostatic Other (Specj&) Teat Equlptnent Used: , .<, ..,. Equipment Resolution: UDC Z UDC # UDC # UDC # UDC Manufacturer: UPC Material: UDC De Height from UDC Bottom to Top of ffighost P' is Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to res ' Portion of UDC Tested Does turbine shut down when UDC sensor detects liquid (both No NA Yes No NA Yes No NA Yes No NA product and water)7° 'llubine shutdown re tithe is system programmed for fail- No NA Yes No NA Yes Na NA Yes No NA safe ahutdown7e Was fail-safe verified to be o erational?° No NA Yes No NA Yes No NA Yes No NA Wait time between applying pressure/vacuum/water and LO I stuting test Test Start Time' Initial Road' '.t Test End Time: Fina! Test Duration: L T-6_% in Rr3 v NasOPH Threshold or Criteria: -;7— zTest TestResult: ❑ Pais air C Pass ❑ Fail ❑ paw ❑ Fall C Paas O Fail! Was sensor removed for t~ No NA Yes No NA Yes No NA Yes No NA Was sensor properly replaced and No NA Yes No NA Yes Na NA Yes No NA verified Awational after test. Comments —(include i ormatf on repairs made REjLor to tadh& and recommended ollow- or ailed tests 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 asterisk (-) is "NO" or "NA", the entire UDC must be tested. (See SWR.CB LG -160)