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SWRCB, January 2002 6. UNDER -DISPENSER CQNTA UDC Tl Test Method Developed By: ❑ UDC Manufacturerndustry Standard ❑ Other (Specify) w Test Method Used: Test Equipment Used: ❑ Pressure ❑ Vacuum Page of ❑ Professional Engineer ydrostatic _ ipment Resolution: r ��° '. _ �. .�; UD�'. #.,.... G �' UDC # UDC # UDC # UDC Manufacturer: UDC Material: UDC Depth: Height ftom UDC Bosom to Top of Highest Piping Penetration: Height from UDC Bottom to Lowest Lowest Electrical Penetration: 1-'7L- of UDC prior to testing:_ Portion of UDC Tested Does turbine shut down when UDC detects liquid / sensor (both product and water)?* 01 Yes ❑ No A ❑ Yes ❑ No S NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Turbine shutdown response time Is system programmed for fail- Yes ❑ No shutdown?' A ❑Yes 0 No ❑ Y ❑ NoNsafe ❑Yes ❑ 10 ❑ NA Was fail-safe verified to be op erational?` . ❑ Yes ❑ No A . ❑ Yes ❑ No VNA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA Wait time between applying pressure/vacuum/water and starting test , G /f✓ [ �;% (!'" Test Start Time:.— " .20 Initial Reading Test End Time: Final Reading F):"' Test Duration: f jp ,► Change in Reading (RF—RI): Pass/Fail Threshold or Criteria: Irk°ft Test Result: Pass ❑ FaiL Pass ❑ Fail.- ❑ Pass ❑ Fait ❑Pass ❑Fail Was sensor removed for testing? E' Yes ❑ No A ❑ Yes ❑ No Rf4A ❑Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA !A7as srnsor properly replaced and verified functional after testin ? ❑ Yes 11No A 11Yes 11No jP4A ❑ Yes 11No ] NA ❑ Yes ❑ No ❑ NA Comments — (include informationon repairs made prior to testing and recommended follow-��p for failed tests) ' If the entire depth of the UDC is not tested, specify how much was tested. If the answer toa v of the questions indicated with an asterisk (*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160)