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SWRCB,January 2002 Page 2 of 7__ <br /> T. UNDER-DISPENSER CONTAINMENT C TESTING <br /> Test Method Developed By: D UDC Manufacturer Crindustry Standard ❑Professional Engineer <br /> D Other(Specify) <br /> Test Method Used: D Pressure D Vacuum Hydrostatic <br /> D Other(S)7ecj&) <br /> Test Equipment Used: 'JIMCO h Equipment Resolution:10. O 6't_ <br /> UDC# (' Z UDC# UDC# 5- UDC# <br /> UDC Manufacturer: v a <br /> UDC Material: c e <br /> UDC Depth: 4 <br /> Height from UDC Bottom to Top �( <br /> of Highest Piping Penetration: (/7 <br /> Height from UDC Bottom to <br /> Lowest Electrical Penetration: <br /> Condition of UDC prior to <br /> testing: ti K <br /> Portion of UDC Tested <br /> Does turbine shut down when Dyes ❑No IRNA <br /> UDC sensor detects liquid(both D Yes DNo E4NA D Yes DNo aNA D Yes DNo DNA <br /> product and water)? <br /> Turbine shutdown response time <br /> Is system programmed for fail- Yes D No D NA QLYes DNo DNA KYes DNo DNA C Yes D No D NA <br /> safe shutdown?. <br /> Was fail-safe verified to be 6-Yes D No D NA &,es DNo [INA gVes C No DNA D Yes DNo DNA <br /> o erational?* <br /> Wait time between applying <br /> pressure/vacuum/water and 'syy,l h <br /> starting test <br /> Test Start Time: O Z <br /> Initial Reading •Q $ . S S I <br /> Test End Time: <br /> Final Reading(R,): OS 73,Ml <br /> 5l <br /> Test Duration: : � WI i.. <br /> Change in Reading F-Ri : - p.Ocw3 <br /> Pass/Fail Threshold or Criteria: _ O•d07— k a•C)o z— to•c�a"t.-- <br /> Was sensor removed for testing? C Yes D No kNA ❑Yes DNo ,&NA D Yes 0 No ANA ❑Yes DNo DNA <br /> Was sensor properly replaced and D Yes DNo MA D Yes DNo 9NA D Yes DNo ;&A D Yes DNo DNA <br /> verified functional after testing? <br /> Comments—(Include in ormation on repairs made prior to testing,and recommended follow-upor ailed tests <br /> Li 171^ 3- `f v {n c-R-nce.E u {�av� <br /> 7H hrPalc J✓od a cF L`nie Loose a7L s hp rtc Ja/v e In X:eo <br /> If the entire depth of the UDC is not tested,specify how much was tested. If the answer to 1y of the questions indicated with an <br /> asterisk(+)is"NO"or"NA",the entire UDC must be tested (See SWRCB LG-160) <br />