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'Feb 23 08 11 : 27a Elite Iv Contractors Inc 209461&342 p. 4 <br /> 41 <br /> SWRC R,January 2002 0 Pabr.__of <br /> 7. UNDrTR-DISPENSER CUNTA.INMFNT(IIDC)TFS'i'iN(,' <br /> TesFP✓Setha�!Develoix.d By, i i UDC Manufacturer i I Industry Standard I.:Professional Engincer <br /> 71 Other(Specify) <br /> ..Test Method Used: IJ Pressure C Vacuum C Hydrostatic <br /> Other(5;ocgi) <br /> .-Test.Equipment Used- Equipment Resolution: On <br /> UDC'# UDC-M UL)c# tiDC# <br /> I:1DC Mattul�icturer. <br /> UDC Material: C;C� 1)C. <br /> UDC De the <br /> Ileil;ht from UDC Bottom to Top <br /> of Highest Piping Penetration; <br /> Height from UDC'Bottom to <br /> ),owes(Electrical Penetration: } <br /> Condition oJ'UDC prior to <br /> tcstin�: t o >b CjC}Q� <br /> Portion of UDC Tested <br /> Docs turbine shut down when <br /> C1DCscnsordetei:tsliquid(both 1Ycs INo A �{, NC 1 GYcs GNo ["INA DYes :INo DNA <br /> product and water)?* <br /> i�� <br /> IO <br /> urbine.shutdown res onse time <br /> s system Programmed fbr fail- yes Cl No /NA►fe shutdown?' XlesC No GNA CI Ycs GNo DNA C,Ycs No ❑NA <br /> as fail-s;ife verified to be LI Yes J No CNA <br /> perdtional7" C Yes D No C'NA ❑Yrs D No G NA CI 1'es CI No n NA <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> stvtin test <br /> Test Start Time: <br /> Initial XeFidinQ(Rf): <br /> Test End Time: <br /> Final Readinn RF): T <br /> Test Duration: <br /> ..Chan,c.in_Read i n,.(R-R : -- <br /> Passll',ail Threshold or Criteria <br /> '76d R'ekult: (1 Pass 1_!Fail ❑ Pass Ia friiii 0Pai_ss_ ❑Fadl D PASS l.7 h.9i1 <br /> Was sensor removed for testing? J <br /> g? l-1 Yes �'No DNA (1 Yes No LINA L'.Yes ❑No CNA 1:1 Yes GNo . .NA <br /> Wae sensor properly repluccd and ❑Ycs Li No 'A <br /> verified functional afl.er testing? ❑Yes C No 1NNA C Yes ❑No G'NA ❑Ycs t_I No CNA <br /> COmmeut~—(include infnrrnativn un re�arrc m�rde rior fn Lectin y,and recommended fnllnn-zi�j fur foiled te,cl_r) <br /> 'If the entire depth of the UDC is not tested,specify how mucic was tested. If the answer tom ol'the questions indicated with an <br /> '19 <br /> terislc(") is"NO"or"NA",the entire UDC must.bc.tested. (See SWRCB LG-160) <br />