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SWRCB, January 2002 7. UNDER -DISPENSER C ONTAINMF.NT aMCI TFCTlVf-- Page => _ of F ethod Developed By: ❑ UDC Manufacturer 0 Industry Standard v X Professional Engineer -� ❑ Other (Spec) F___ ethod Used: ❑ Pressure D Vacuum X Hydrostatic D Other (Specify) Test Equipment Used: Caldwell Level Change Indicator Equipment Resolution: .002 UDC # 1&2 UDC # 3&4 UDC # 5&6 UDC # 7&8 UDC Manufacturer: Unknown Unknown Unknown Unknown UDC Material: Fiberglass Fiberglass Fiberglass Fiberglass UDC Depth: 32" 32" 32" 32" Height from UDC Bottom to Top of Highest Piping Penetration: 9" 10" 11" 10" Height from UDC Bottom to Lowest Electrical Penetration: 5" 5" 6" 6" Condition of UDC prior to -testing: Dry Dry Dry Dry Portion of UDC Tested Water Line i l" Water Line 12" Water Line 13" Water Line 12 %" Does turbine shut down when UDC sensor detects liquid (both roduct and water)?* X Yes No ❑ NA X Yes No DNA X Yes No ❑ NA -- X Yes No ❑ NA Turbine shutdown response time Not Alarmed Not Alarmed Not Alarmed Not Alarmed Is system programmed for fail- safe shutdown?" X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA Was fail-safe verified to be operational?* ❑Yes X No ❑ NA ❑Yes X No ❑ NA ❑Yes X No ❑ NA ❑Yes X No [INA Wait time between applying water and starting test 10 Minutes 10 Minutes 10 Minutes 10 Minutes Test Start Time: 10:55 11:00 11:35 11:40 Initial Reading (Rj): .001 .001 .001 .001 'fest End Time: 11:25 11:30 12:05 12:10 Final Reading (RF): .001 .001 .001 .001 Test Duration: 30 Minutes 30 Minutes 30 Minutes 30 Minutes Change in Reading (RF -R,): 0 0 0 0 Pass/Fail Threshold or Criteria: .005/30 Minutes .005/30 Minutes .005/30 Minutes .005/30 Minutes Test Result: X Pass ❑ Fail X Pass ❑ Fail X Pass ❑ Fail X Pass ❑ Fail Was sensor removed for testing? X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA Was sensor properly replaced and verified functional after testing? X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes ❑ No ❑ NA X Yes D No ❑ NA Comments —(include information on repairs made prior to testing, and recommended follow-up for failed tests) All Penetrations enter from Bottom of Bravo System UDC'S. 1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to a= of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160)