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Page 5 of 8 r//// cF <br /> 7. UNDER-DISPENSER CONTAINMENT(UDC)TESTING <br /> Test Method Developed By: ❑ UDC Manufacturer ❑ industry Standard ❑ Professional Engineer <br /> ❑ Other(Specify) <br /> Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br /> ❑ Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> UDC # UDC # UDC # UDC # <br /> UDC Manufacturer.- <br /> UDC Material: <br /> UDC Depth: <br /> Height from UDC Bottom to Top of <br /> Highest Piping Penetration: <br /> Height from UDC Bottom to Lowest <br /> Electrical Penetration: <br /> Condition of UDC prior to testing'. <br /> Portion of UDC Tested' <br /> Does turbine shutdown when UDC <br /> sensor detects liquid(both product ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br /> and water)?* <br /> Turbine shutdown response time <br /> Is system programmed for fail-safe ❑ Yes ❑ No ❑ NA O Yes Ct No ❑ NA ❑ Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA <br /> shutdown?' <br /> Was fail-safe verified to be ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br /> operational?* <br /> Wait time between applying <br /> pressurelvacuumlwater and starting <br /> test <br /> Test Start Time: <br /> Initial Reading(Ri): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Chan a in Reading(RF-Ri): <br /> Pass/Fail Threshold or Criteria: <br /> Test Result: ❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass 0 Fail © Pass ❑ Fail <br /> Was sensor removed for testing? ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA <br /> Was sensor properly replaced after p Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA <br /> testing? <br /> Comments—(include information on repairs made 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. If the answer to any of the questions indicated with an <br /> asterisk(*)is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160) <br />