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SWRCB, January 2002 Page '; of_? <br />7. UNDER -DISPENSER CONT AINMEN-T-"C) TESTING <br />-Test —Method Developed By: 0 UDC Manufacturer `industry Standard El Professional Engineer <br />0 Other (Spedfy) <br />Test Method Used: 0 Pressure 0 Vacuum 1344ydrostatic <br />11 Other (Specify) <br />i <br />1, k <,, /,.y — , I Equipment Resolution: TP-.t-Fniiinmi-nt1Tqed- � . I <br />Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />rr <br />if the entire depth of the UDC is not tested, specify how much was tested. if the answer to M of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />UDC # <br />UDC #S2� <br />UDC # <br />4, t- <br />UDC # <br />4r, <br />v, <br />'C <br />UDC Manufacturer: L <br />UDC Material:6r <br />- <br />UDC Depth:.. <br />-5( <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />Height from UDC Bottom to <br />C�/ <br />I <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />—. <br />r <br />testing: <br />� C k ,� <br />Portion of UDC Tested' <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />0 Yes 0 No <br />0 NA <br />0 Yes <br />11 No <br />DNA <br />D Yes <br />DNo <br />PNA,........ . <br />ONo <br />DNA <br />product and water)-?, <br />Turbine shtitdmvn response time <br />Is system programmed for fail- <br />D Yes 0 No <br />0. NA <br />0 Yes <br />0 No <br />DNA <br />0 Yes <br />D No <br />DNA <br />0 Yes ONo <br />DNA <br />safe sliutdo%vn?* <br />Was fail-safe verified to be <br />operationar? <br />0 Yes 0 No <br />0 NA <br />11 Yes <br />0 No <br />DNA <br />0 Yes <br />0 No <br />DNA <br />0 Yes 0 No <br />DNA <br />Wait time behveen applying <br />pressure/vacuum/water and <br />starting test <br />Test Start Time: <br />, <br />:2 <br />initial Reading (RO:— <br />OIQ <br />Test End Time: <br />Filial Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Rj): <br />ZE <br />Pass/Fail Threshold of Criteria: <br />Test Result: <br />9?ass D FA <br />O'Pass 0 Fail <br />"ass 11 Faff <br />11 Fait <br />Was sensor removed for testing" <br />12-iles 0 No <br />n NA <br />Ves <br />ONO <br />0 NA <br />Q-y6s <br />ONO <br />ONA <br />gTes El No <br />0 NA <br />%/cs <br />Was sensor properly replaced an des <br />. El No <br />C1 NA <br />eV6s <br />GNo <br />DNA <br />les <br />DNo <br />DNA <br />O'Yes 0 No <br />11 NA <br />v, <br />verifiedftinctional after testing9 <br />Comments - (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />rr <br />if the entire depth of the UDC is not tested, specify how much was tested. if the answer to M of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />