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SWRCB, January 2002 Page _ of _ SWRCB, January 2002 q b Trl Test Method Dec eloped By: LDDC Manufacturer Oilier (Sys—b) Industry Standard Professional Engineer Fill Riser Containment Sumps me Present, but were Not Tested Test Method Used: Pressure Outer (Specify) Vacuum - Hydrostatic Test Equipment Used: Pressure Other (Specht' Vacuum Hydrostatic Equipment Resolution: Test Equipment Used: UDC Manufacturer: UDC# LDC At LMC# Fill Sump # UDC# Fill Sump # UDC Material: Sump Depth: UDC Depth: Height from Tank Top to Lowest Electrical Penetration: Height from UDC Bottom to Top ofilkhest PipmR Penetration: Condition of sump prior to testis Height from UDC Bottom to Lowest Electrical Pwetration: Portion of'Sump Tested Condition of UDC prior to testing: Wait time between applying pressuravacuum/aater and starting test: Portion ofUDC Tested Test Start Time: Does turbine shut down when JDsmsordetmts liquid (both rot and —ter)? r1-- Yes No NA Yes No NA Yes No NA Yes No NA Turbine shutdown response time Final Reading ): Is system programmed for fail- safe shutdown? Yes No NA Yes No NA Yes No NA Yes No NA Was fail-safe verified to be o tram]?' Yes No NA Yes No NA Yes No NA Yes No NA Wali time between applying pressurr/vacuumluater and starting test Test Result, ::Pass - Fa0FYmNo Test Start Time: Pass Fall Pass -FirIs there a sensor in the sump? Yes No Yes No Initial Reading No Does the sensor altars when either prduct m water is detected? Yes No NA Yes No NA Yes No NA Test End Time: Yes No NA Yes No NA Yes No NA Was sensor properly replaced and verified funeuwel a testis Yes No NA Final Readin (R,): Yes No NA Yes Na NA Test Duration: Change in Reading Rr): PassiFail Threshold or Criteria: Test Residt- I Pass FaR 'Pun FI Paas Fail Pass FW Was sensor removed for testis ? Yes No NA Yes No NA Yes No NA Yes No NA Was sensor properly replaced and verif d functional after testin Yes No NA Yes No NA Yes No NA Yes No NA Comments— linoludeComments— mfo—dan on r�irs modeprior to ImMig, andre mmerrdedfollov-upforfailed tese)on r�irs modeprior to ImMig, andre mmerrdedfoll-upforfarled lese) 'If the entire depth of the UDC is not tested, specify how much was tested If the answer to Ml of the questions indicated w•itb m asterisk (*) is `NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) Page _ of R FII I. RICER VnT,*r ATNMFNT CT1&1P TRCTTN(I Facil ity is Not Equ ipped With Fill Riser Containment Sumps Fill Riser Containment Sumps me Present, but were Not Tested Test Method Developed By: Sump Manufacturer Other (Spec fv) Industry Standard Professional Engineer Test Method Used: Pressure Other (Specht' Vacuum Hydrostatic Test Equipment Used: Equipment Resolution: Sump Diameter: Fill Sump # Fill Sump # Fill Sump # Fill Sump Of Sump Depth: Height from Tank Top to Top of Highest Piping Penetration: Height from Tank Top to Lowest Electrical Penetration: Condition of sump prior to testis Portion of'Sump Tested Sump Material: Wait time between applying pressuravacuum/aater and starting test: Test Start Time: Initial Reading Test End Time: Final Reading ): Test Duration Change in Reading PassiFail Threshold or Criteria: Test Result, ::Pass - Fa0FYmNo Pass Fall Pass -FirIs there a sensor in the sump? Yes No Yes No Yes No Does the sensor altars when either prduct m water is detected? Yes No NA Yes No NA Yes No NA Was sensor removed for testing? Yes No NA Yes No NA Yes No NA Was sensor properly replaced and verified funeuwel a testis Yes No NA Yes No NA Yes No NA Yes Na NA Comments—/incGrde ufonnation on repair madep�iar roiesftng.m:drecommendedjollmr-epforfaded rase/ E