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' if the entire depth of the UDC is not tested, specify how much was tested. If the answer to M of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />LO'd 8888 826 GOV swa-*SRS uot�V..s £T :ST VTOZ-ZO-NUf <br />0 <br />9 RECEIVED <br />JAN 0 2 2014 <br />7. <br />UNDER-DISPENSER CONTAINMENT (UDQ TESTING <br />Test Method Developed By, <br />0 UDC Manufacturer J@ industry Standard L] P T!"NaftNTAL <br />0 Other (specify) <br />HEA1 <br />Test Method Used, <br />[3 Pressure <br />[3 Vacuum <br />N Hydrostatic <br />0 Cnher (specify) <br />Test Equipment Used: Incon Sump Tester <br />1, 11101111"� <br />Equipment Resolution: 0.002" <br />�, 111111 1111111111 11 <br />)c #1/2 <br />UDC #314 <br />� <br />UDC #516 UDC # 7/8 <br />UDC Manufacturer. <br />Bravo <br />Bravo <br />Bravo Bravo <br />UDC Material: <br />Steel <br />Steel <br />Steel steel <br />UDC the <br />IT, <br />12" <br />ITI - ­­ 12" <br />_Dqp <br />Height from UDC Bottom to Top <br />Located on Bottom <br />Located on Bottom <br />Located on Bottom Located on Bottom <br />of Highest Pi ing Penetration. <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Located ov Bottom <br />Located on Bottom <br />Located on Bottom Located on Bottom <br />Condition of UDC prior to <br />Good <br />Good <br />Good Good <br />testing; <br />Portion of UI)t Tested <br />2" move gt±& <br />2" above piping <br />2" above Ripin 2" above piping <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />El Yes 0 No 0 NA <br />0 Yes Ej No ®NA <br />[3 Yes [3 No RNA [3 Yes [3 No 0 NA <br />product and water)?" <br />Turbine shutdown res nse time <br />N/A <br />N/A <br />N/A N/A <br />Is system programmed for fail- <br />* <br />[3 Yes 0 No 0 NA <br />L3 Yes [3 No ®NA <br />0 Yes E3 No SNA [3 Yes [3 No CM NA <br />safe shutdown? <br />Was fail-safe verified to be <br />erational?* <br />0 Yes 0 No 0 NA <br />[3 Yes 0 No ®NA <br />0 Yes 0 No ®NA ❑ Yes [3 No 0 NA <br />Wait time between applying <br />pressure/vacuum/water and <br />30 minutes <br />30 minutes <br />30 minutes 30 minutes <br />Starting test <br />Test Start Time: <br />—3-.46 pm <br />3 :46m <br />,p, <br />2:18 PM 2.18pm <br />Initial ReadinR,): <br />2,2494 <br />1.1566 <br />2.2498 1.5600 <br />Test End Time: <br />4:01 pm <br />4:01 pm <br />2:33 pM 2.33 Rm <br />Final Reading (M: <br />2.2498 <br />1,1561 <br />2,2490 1.5605 <br />Test Duration: <br />15 min._ <br />15 min. <br />15 min. 15 min. <br />Chane in Reading (RF-R,): <br />0.0004 <br />0.0005 <br />0.0002 0.0005 <br />Pass/Fail Threshold or Criteria, <br />+/-0.00211 <br />+/-0.00211 <br />0.002" +t- 0.002" <br />Test Result: <br />0 Pass 11 Fail <br />I@ Pass a Fail <br />0 Pass 0 Fall 0 Pass a Mi <br />Was sensor removed for testing? <br />[I Yes [3 No I@ NA <br />[I Yes [I No 0 NA <br />C] Yes [3 No C9 NA [3 Yes E3 No 0 NA <br />Was sensor properly replaced and <br />[3 Yes [I No ®NA <br />[3 Yes [I No C9 NA <br />C) Yes [I No ®NAS [3 Yes 0 No 0 NA <br />verified functional after testing? <br />Comments — (include information on Mairs made E:z�t lo tes��E and recommeniLdLollow-upforfailedtE!tsj <br />. <br />"Sensor functionality was not confirmed, This procedure is not part of the Secondary Containment testing scope of work". <br />' if the entire depth of the UDC is not tested, specify how much was tested. If the answer to M of the questions indicated with an <br />asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />LO'd 8888 826 GOV swa-*SRS uot�V..s £T :ST VTOZ-ZO-NUf <br />