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SWRCB,January 2002 Page —of 7. UNDER-DISPENSER CONTAINMENT(UDC) TESTING "Test Method Developed By: ❑UDC Manufacturer ❑ Industry Standard X Professional Engineer ❑Other(Spec) Test Method Used: ❑Pressure ❑Vacuum X Hydrostatic ❑Other(Spec) Test Equipment Used: Caldwell Level Change Indicator Equipment Resolution: .002 UDC#9&10 UDC# 11&12UDC It 13&14 UDC# 15&16 UDC Manufacturer: Bravo Bravo Bravo _ Bravo UDC Material: Coated Steel Coated Steel Coated Steel Coated Steel UDC Depth: 35" 35" 35" 35" — Height from UDC Bottom to Top 18" 18" 19" 18" of Highest Piping Penetration: _. Height from UDC Bottom to No Electrical No Electrical No Electrical No Electrical Lowest Electrical Penetration: Penetrations Penetrations Penetrations Penetrations _ Condition of UDC prior to Dry Dry Dr� Dry testing: I Portion of UDC Tested Water Level 20" Water Level 20" Water Level 2.1" Water Level 21"_ I Does turbine shut down when UDC sensor detects liquid(both X Yes No ❑NA X Yes No DNA X Yes No [INA X Yes No ❑NA I product and water)?` Turbine shutdown response time Not Alarmed Not Alarmed Not Alarm_ ed Not Alarmed Is system programmed for fail- X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No 1 NA X Yes ❑No ❑NA safe shutdown?` _ ---.- Was fail-safe verified to be Yes X No ❑NA Yes X No ❑NA Yes X No i NA Yes X No -NA operational?* -- Wait time between applying 5 Minutes 5 Minutes 5 Minutes 5 Minutes water and starting test _ - Test Start Time: 11:15 11:20 11:55 12:00 _ Initial Readin (Ri): .001 .001 _ .001 .001 Test End Time: 11:45 11:50 12:25 12:30 I Final Readin (RF): .001 .001 .001 Test Duration: 30 Minutes 30 Minutes 30 Minutes 30 Minutes ------- Change in Reading(RF-Ri): 0 0 0 0 Pass/Fail Threshold or Criteria: .005/30 Minutes .005/30 Minutes .005/30Minutes .005/30 Minutes _ Test Result: X Pass ❑Fail X Pass ❑Fail X Pass ❑ Fail X Pass ❑ Fail Was sensor removed for testing? X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No—' NA X Yes ❑No ❑NA Was sensor properly replaced and X Yes ❑No ❑NA X Yes ❑No ❑NA X Yes ❑No 17 NA X Yes ❑No ❑NA verified functional after testing? I Comments —(include information on repairs made prior to testing, and reco177n7ended.folloly-zip_for failed tests) If the entire depth of the UDC is not tested, specify how much was tested. If the answer to a�of the questions indicated with an asterisk(*) is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160)