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1 if the entire depth of the UDC is not tested, specify how much was tested, 1f the arusww to a[ty of the quegti ns <br />indicated with an asterisk (0) is "NO" or "NA", the entire sump must be tested. (SWRCB 1,G-160) <br />Page S of 7 <br />S WRCS. January 2002 <br />7. UNDER-DISPENSER CONTAINMENT <br />UDQ TESTING <br />Test Method Developed >3y: <br />[ } UDC 1vlanufacturer [ ] industry Standard [ )Professional Fngi <br />( I Other (Specify) <br />[ ] Pressure [ ) Vacuum [,x] Hydrostatic <br />Test Method Uscd: <br />t ] Other (Spee) <br />E of ment Rcsoiulion: 4.0425 <br />Test E ui mcnt Used: CALL" _, L SYBTEM <br />UDe # <br />UDC, a <br />u?JG <br />UpC # <br />UDC Manufacturer: <br />- <br />UDC Material: <br />UDC Dc the <br />Height from UDC Bottom to <br />Top of Highest Piping <br />Penetration: <br />Height from UDC Bottom to <br />Lowest Electrical <br />Panetration: <br />Condition of UDC prior to <br />tcstin : <br />Portion of UDC Tested 1 <br />Does turbine shut down <br />[ ] YES [ NO <br />[ J YES ) NO <br />] YES [ } NP <br />[ ] YES( ] NO <br />when UDC sensor detects <br />( ] NA <br />[ INA <br />[ I NA <br />I INA <br />liquid (both product & <br />water h <br />Turbine shutdown response <br />NIA <br />time; <br />is system progn+mmcd for <br />[ ) YES I ] <br />[ I YES ] NO <br />[ ) YES [ ] NO <br />{ 1 Y8S [ ] NO <br />fail-safe shutdown? <br />Was inil•safc verified to be <br />NA <br />[ ] YES [7{I NO <br />1 NA <br />( ] Y$5 [ AIO <br />NA <br />[ ] YES[ ] NO <br />NA <br />[ ) YES E ] No <br />o erational? <br />NA <br />jj NA <br />INA <br />NA <br />Wait time between applying <br />pressurtivacuumlwater & <br />starting test <br />Test Start Time: <br />initial Rcadin Rl <br />Test End Time: <br />Final Reading <br />Test Duration <br />Chan c in Reodin Rf 1t1 <br />Pass/Fail Threshold at <br />Criteria: <br />Kest Result.-: <br />... TASS ' FAVI::'; <br />. , PAWA F�izf, '' <br />' FABS FA1L .: <br />:: 1PASS ' C <br />Was sensor removed for <br />[ ] YES [ J NO <br />[ J'ES [ ] NO <br />I ] YES [ ] NO <br />tcstin ? <br />NIA <br />TINIA <br />I NIA <br />Was grnsc,r properly replaced <br />[ ] YES [ ]NO <br />[]YES ( J NO <br />[ :YES [ ] NO <br />and verIned tiunctiottal aRcr <br />[ J NIA <br />[ ] NIA <br />[ 3 NIA <br />lest? <br />Comments — (include information on repairs made <br />prior to testing, and recommended follow-up for failed tests) <br />1 if the entire depth of the UDC is not tested, specify how much was tested, 1f the arusww to a[ty of the quegti ns <br />indicated with an asterisk (0) is "NO" or "NA", the entire sump must be tested. (SWRCB 1,G-160) <br />