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' 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 <br />asterisk (*) is "Ng' or "l the entire UDC must be tested. (See SVi LG -160) <br />MINI& <br />l; UDC Manufacturer: <br />Equipment Resolution: .0025 <br />Eli Uj I INZINE, <br />D Depth: <br />Uc <br />!Height from UDC Bottom to Top I-�.■ <br />of Highest Piping Penetration: I <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testing: <br /># <br />smar-rim liblow # <br />MMOMM <br />El Yes 0 No 9 NA <br />•FLOAT <br />HAIN <br />o Yes El No NA <br />FLOAT & CHAIN <br />0 Yes El No lidNA <br />& CHAIN <br />D Yes 0 No litNA <br />FLOAT & CHAIN <br />4 <br />is system programmed for <br />safe shutdown?* <br />0 Yes 0 No NNA <br />0 Yes 0 No NA <br />0 Yes 0 No 0 NA <br />as fail-safe verified to be <br />perational?* <br />p <br />1: 0 Yes 0 No NA <br />0 Yes 0 No NA <br />i 0 Yes 0 No <br />time between applying <br />r/water and <br />starting test <br />I nitial geading Ri) <br />I Test End ATTime: <br />msjij_��=M <br />all 119$J 1 <br />Final Reading (14). <br />Test Duration. <br />FIRST CIRCLE <br />FIRST C <br />Change in Reading (RFmJn <br />i'TestResult <br />Pass Fail <br />OYes- ONo ZNA <br />0- Yes 11 No [►RNA <br />11 Yes El No NA <br />i [I Yes DNo ZNA <br />OPIUM <br />fly <br />I <br />' 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 <br />asterisk (*) is "Ng' or "l the entire UDC must be tested. (See SVi LG -160) <br />