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SWRCB,January 2002 Page of 7. UNDER-DISPENSER CONTAINMENT(UDC)TESTING Test Method Developed By: UDC Manufacturer Industry Standard Professional Engineer ❑Other(Spec) Test Method Used: ❑Pressure Vacuum 0 Hydrostatic ❑Other(Spec) Test Equipment Used: Equipment Resolution:0.00" UDC#s-10 UDC#11-12 UDC# UDC# UDC Manufacturer: Unknown Unknown UDC Material: Plastic Plastic UDC Depth: 39.00" 39.00" Height from UDC Bottom to Top 12.00" 13.00" of Highest Piping Penetration: Height from UDC Bottom to 8.00" 7.00" Lowest Electrical Penetration: Condition of UDC prior to Clean dry Clean dry testing: Portion of UDC Tested' 4.00"above highest pipe IM 4.00"above highest pipen Does turbine shut down when 0 Yes ❑No NA UDC sensor detects liquid(both 0 Yes ❑No [INA ❑Yes ❑No ❑NA ❑Yes No NA product and water)?* Turbine shutdown response time lmmediatelV Immediately Is system programmed for fail- 0 Yes F-1 No NA i Yes ❑No ❑NA Yes No NA Yes No NA safe shutdown? Was fail-safe verified to be 0 Yes No NA Yes []No ❑NA Yes No NA Yes No NA operational?* Wait time between applying pressure/vacuum/water and 5 min 5 min starting test Test Start Time: Test End RI): Please See Incon results Test End Time: Final Reading(RF): I _ Test Duration: 15 min 15 min Change in Reading(RF-RI): Pass/Fail Threshold or Criteria: 0.002" 0.002" Test Result: Pass , Fail ❑ Pass 0 Fail 1 ! Pass ❑Fail ❑ Pass ❑Fail Was sensor removed for testing? v Yes No NA v Yes _ No \A Yes No NA Yes .No NA Was sensor properly replaced and Yes No NA ,,Yes No NA Yes No NA ❑Yes 0 N NA verified functional after testing? Comments—(include information on repairs made prior to testing, and recommended follow-up for failed tests) ' 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 asterisk(*)is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160)