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UNDER DISPENSER CONTAINMENT <br />(UDC) TESTING <br />.............................................. .. <br />...................... <br />.................... <br />Test Method By: . <br />Test Method Uses:? <br />Measuring Equipment Used: <br />O Manufacturer • Industry Standard <br />Pressure _) Vacuum <br />........................................ <br />.................................... <br />Level Change Indicator "< <br />O Professional Engr. O Other (see below) <br />0 Hydrostatic O other (see below) <br />(Caldwell System 2oo1 /waltonEngineering) <br />Description <br />Disp # 1/2 <br />UDC Manufacturer <br />None <br />UDC Material <br />UDC Depth (inches) <br />Height from UDC bottom to highest <br />piping penetration <br />Height from UDC bottom to lowest <br />electrical penetration <br />Condition of UDC prior to testing <br />Portion of UDC tested <br />Type of shut-down present <br />Was sensor removed for testing? <br />Was sensor properly replaced after testing? <br />Wait time for water level to stabilize (hr:min) <br />Depth of water level from UDC bottom (in.) <br />Test start time <br />Test end time <br />Test duration (hr:min) <br />Change in water level (± 0.000 inches) <br />Pass/Fail threshold (0.005 inches/'/2 Hr.) <br />TEST RESULT <br />Comments: <br />There is no UDC at this facility. This is a suction system. <br />Cc 2002 Walton Engineering, Inc. <br />