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R . . SWRCB, January 2002 Page of� 7. UNDER -DISPENSER CONTAINMENT C TESTING Test Method Developed By: ❑ UDC Manufacturer 'Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: ❑ Pressure ❑ Vacuum ,Hydrostatic ❑ Other (Sped) Test Equipment Used: -T�� c_z � � _...._. Equipment Resolution: 112-- Height f UDC # UDC # UDC # — UDC Manufacturer: — UDCMaterial: UDC Depth:Height from UDC Bottom to Top of Hi hest Pi in Penetration: from UDC Bottom toLowest Electrical Penetration: Condition or UDC prior to of UDC Tested rbine shut down whennsor detects liquid (both water ?shutdown L I q Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑Yes❑No❑ NA ❑ Yes ❑ No❑NAand response timeV4o4Ye t Is system programmed for fail- safe shutdown?* ff ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA 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 starting test Test Start Time: 3 ,, Initial Reading (R& ,gds - H. t44 Test End Time: C q., zx Final Reading (RF): Test Duration: �• �j yI rtG L =T S - Change in Reading (RF -RI): Pass/Fail Threshold or Criteria: - ;� - • �� ; , Test Result: Was sensor removed for testing? Was sensor properly replaced and verified functional after testing? 0 Pass ❑ Fail X yes ❑ No ❑ NA ©`I'es ❑ No ❑ NA ❑ Pass ❑ Fail ❑ Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Comments - (include information on repairs made prior to testing, and recommended follow-up forfailed 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 SWRCB LG -160)