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SWRCB, January 2002 <br />7. UNDER -DISPENSER CONTAINME <br />Test Method Developed By: r. UDC Manufacturer ; i Ind <br />1-1 Other (Spec) <br />JUL 13 2015 Page 5 of 7 <br />E _ o essional Engineer <br />Test Method Used: <br />P Pressure fl Vacuum <br />LJ Other (Spec) <br />P Hydrostatic <br />Test Equipment Used: <br />UDC Manufacturer: <br />UDC # UDC # <br />Equipment Resolution: <br />UDC # UDC # <br />UDC Material: <br />UDC Depth: <br />Height from UDC Bottom to Top <br />of Highest Piping Penetration: <br />Height from UDC Bottom to <br />Lowest Electrical Penetration: <br />Condition of UDC prior to <br />testing: <br />Portion of UDC Tested' <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?* <br />Yes i 1 No NA <br />!-1 Yes s ! No INA <br />Ci Yes F,, No [INA <br />;.j Yes ❑ No U NA <br />Turbine shutdown response time <br />Is system programmed for fail- <br />safe shutdown?" <br />I 1 Yes !'­INo FiNA <br />_Yes C i No i NA <br />F!Yes L I No f l NA <br />Yes 1jNo i_ NA <br />Was fail-safe verified to be <br />operational? <br />j Yes L; No NA <br />Yes t: ! No U NA <br />CI Yes FINo ❑ NA <br />f7 Yes fj No ❑ NA <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />Test Start Time: <br />Initial Reading (Ra <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or Criteria: <br />Test Result: <br />_ Pass 0 Fail <br />Pass LE Fail <br />= Pass =: Fail <br />D ]Pass G' Fail <br />Was sensor removed for testing? <br />[_i Yes F. -I No CNA <br />i-1 Yes ';-,,No LINA <br />Fi Yes ❑ No FI NA <br />D Yes C': No F' NA <br />Was sensor properly replaced and 7 Yes Cl No 17 NA <br />verified functional after testing? ]Yes ' `No NA 7 Yes f7 No i NA ❑ Yes L No F1 NA <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />N/A <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 "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160) <br />