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Dec 12 02 10:11a Jay Carpenter (510) 278-9137 p.6 <br />: SWRCB, Jaavwy 2002 <br />J. <br />7. <br />Test Mc*o l Duyelop Byed <br />Test Medrol Used: <br />Test Ewiprncu Used: <br />0 UDC Mannfacturar 111ndustry Stamdxrd <br />Ci Other ApoclY) <br />0 Pressure G Vacuum <br />U Other (Specify) <br />Page -�I of 7 <br />(G <br />Lt Professional Engineer <br />hydrostatic <br />Resohnion: <br />Comments (imIude ir#brmation ren repairs made prior to testing arairecomrr�nded 601 W-aP forha- tests) <br />1 if the cntu-t: depth of the tJDC is not tested, spwify how much was tested. if the nnswer to any of the questions indicated with an <br />asterisk (*) is "NO" or "NA-, the entire UDC must be tested- (See SWRCS W-160) <br />8/£d WdOT:80 2002 TT 'WWII SZT6+1£1?+SZ6 : 'ON 3NOHd ' wOdI <br />UUC N ur✓ t 1 <br />UAC A uvl Pero( ;3- <br />van. a rr�wa . <br />•, w <br />UDC Manirfact►rer: <br />$ re t o <br />gr 0 ✓d <br />a &V <br />UDC Mterial: <br />DC <br />K; rep-' <br />F. - <br />.bei <br />UDC <br />_ <br />Heigbt*on, UDC Bottom to TOP <br />$.sITO- mouN! <br />Qo�„► i►ea�rvsr <br />d3otlt� �e��✓r <br />Of Pipaag Penetration: <br />Height front UDC to <br />Lowe Electrical Penetration: <br />SO HOM t^av,✓ f <br />Ba �►aam o+ovv® <br />�'o ffrr Alao�v� <br />Condition (-,I'UDC prior to <br />te9tin <br />1 gonna <br />Ne to <br />portion oft }=et <br />S 'turbinenUDC <br />settloroth <br />U Ycs 0 No E9 NA <br />1Yes r) No aNA <br />0 Yes 0 No tNA <br />0Yes GNo ONA <br />product and <br />TwUne shl4ame <br />is system Programmed for fail- <br />0 Yes 0 No $NA <br />0 Yes 0 NO .LONA <br />fl Yrs ❑ No XNA <br />0 Yes 0 No 0 NA <br />safe shutdahw:r?, <br />Was fail-safe verified to be <br />0 Yes 0 No 914A <br />0 Yes ONo %NA <br />U Yes Ci No M4A <br />oyes ONo ONA <br />opemlonaw <br />Wait time 1 %,Irwean applying <br />presswelvacuum/wata and <br />A <br />starting test <br />$' <br />-®' <br />Test Start-1lrne: <br />rQ: ' po „ is <br />1 afl <br />Initial Readitrg (RI): <br />S1. <br />Test EndT'ene. <br />10:00 r,-1.9 <br />ro: r, -r9 <br />5 rr 25' <br />Firma Read ig (Rr): <br />S ' <br />N <br />Test Drratitai: <br />.2-4 H$ <br />a H y".s <br />C in vim. R� ) <br />.Ga <br />A7— <br />B <br />PassdFail Ttsceshold or Criteria: <br />Test Aeatrlt: ; ..' . <br />Past► .: ©Flair. ': <br />;9 Pass 1? Fail ' : <br />r Ptasa.• . O Faa7 � " <br />17 Pass :' : GOO . <br />Was szuwr aeanoved for testing? <br />0 Yes U No X NA <br />t7 Yes (7 No 9 <br />O Yrs [.%% 0 NA <br />0 Yes 0 No 0 NA <br />Was Sena rcoperly replaced and <br />0 Yes O No RNA <br />0 Ya+ G No ,9tiNA <br />u Yes R No VNA <br />0 Yes 0No O NA <br />verified fturn:tonal after testing? <br />Comments (imIude ir#brmation ren repairs made prior to testing arairecomrr�nded 601 W-aP forha- tests) <br />1 if the cntu-t: depth of the tJDC is not tested, spwify how much was tested. if the nnswer to any of the questions indicated with an <br />asterisk (*) is "NO" or "NA-, the entire UDC must be tested- (See SWRCS W-160) <br />8/£d WdOT:80 2002 TT 'WWII SZT6+1£1?+SZ6 : 'ON 3NOHd ' wOdI <br />