Laserfiche WebLink
I <br /> 2/28/2012 13:40 0000000000 PAGE 05/06 <br /> Secondary Containment Testing Report Form-Page 4 of 5 <br /> Dispenser#1/2 Dispenser# Dispenser# flpenq <br /> 1s UDC Exempt from Testing? Yes; ®No ❑Yes; ❑No ❑Yes; ❑No <br /> UAC Manufacturer: Bravo <br /> UDC Model: Bravo <br /> UDC Depth; 12" <br /> Height from UDC Bottom to Top NA <br /> of Highest Piping Penetration: <br /> Height from UDC Bottom to NA <br /> Lowest.Electrical Penetration: <br /> Porton of UAC Tested Entire <br /> If turbine shuts down when UDC ®N/A El N/A ❑N/A sensor detects liquid,specify minutes, minutes. minutes, <br /> turbine sbutdown res se time. <br /> Wait time between applying <br /> pressure/vacuum/water and 1S minutes. minutes. mlmrtes, minnuk. <br /> starting test <br /> Test Strut Date/Time: 9:07 9:29 <br /> Initial Reading(Rt): 0.691 0.692 <br /> Test End Date/Time: 9:22 9:44 <br /> Final Reading(Pp): 0.690 0.693 <br /> Change in Reading(Rp—Ri): 0.001 0.001 <br /> Pass(Fail Threshold or Criteria: 0.002 <br /> Test Result: Pass;,C Pail ETPaw, Fail LJ Pass; El Fail <br /> Was leak detection sensor <br /> properly replaced and verified as L]Yes;❑No;; ❑Yes; ❑No; ❑Yes;❑No; ❑Yes; ❑No; <br /> functional after testing? ©N/A(Not Removed) ❑N/A(Not Removed) ❑N/A(Not Removed) ❑N/A(Not Removed) <br /> H. Testing of Fill Riser Containment Sumps ❑N/A(No till riser sumps) <br /> ❑Fill Riser Containment Sumps are Present,but were Not Tested <br /> Test Method Developed By: ❑Sump Manufacturer; ❑ Tndustry Standard; ❑PB;❑ Other(specify): <br /> Test Method Used: ❑Pressure; ❑Vacuum; ❑Hydrostatic; ❑Other(Spec): <br /> Test Equipment LJsed: Equipment Resolution: <br /> Sump#: Sump#: Sump N. Sump#: <br /> sump Diameter(inches): <br /> Sump Depth(inches): <br /> Portion of Sump Tested <br /> Sump Material: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test(minutes): <br /> Test Start Date/Time: <br /> Initial Reading W: <br /> Test End Date/Time: <br /> Final Reading(RR): <br /> Change in Reading(Rr—Rt)t <br /> 2' If the entire depth of the UDC is not tested,specify how much was tested. If the answer to aM of the questions indicated with an <br /> asterisk(*)is"NO"or"N/A",the entire UDC must be tested. [see swRCB Local Guidance Loner LG-teal <br /> UN-054.4/5 w .uuidocs.org 02/26/02 <br />