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Page 8 of 14 12. UNDER-DISPENSER CONTAINMENT UDC TESTING Test Method Developed By: ❑UDC Manufacturer rx] Industry Standard ❑Professional Engineer ❑Other(Specify) Test Method Used: ❑Pressure ❑Vacuum 0 Hydrostatic ❑ Other(Specify) Test Equipment Used: Lake Test Equipment Resolution: UDC # 1-2 UDC # 3-4 UDC # 5-6 UDC# 7-8 UDC Manufacturer: Bravo Bravo Bravo Bravo UDC Material: Steel Steel Steel Steel UDC Depth: 11" 11" 11" 11" Height from UDC Bottom to Top of 0 0 0 0 Highest Piping Penetration: Height from UDC Bottom to Lowest 0 0 0 0 Electrical Penetration: Condition of UDC prior to testing: D Dry Dry Dr Portion of UDC Tested' 2" above product 2" above product 2" above product 2" above product Does turbine shut down when UDC sensor detects liquid(both product ❑ Yes ❑ No ® NA ❑ Yes ❑ No ® NA ❑Yes ❑ No ® NA ❑ Yes ❑ No IRI NA and water)?* Turbine shutdown response time See comment Is system programmed for fail-safe ❑Yes ❑ No ® NA ❑Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA shutdown?' Was fail-safe verified to be ❑Yes ❑ No ® NA ❑Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑Yes ❑ No ❑ NA operational?* Wait time between applying 5 min 5 min 5 min 5 min pressure/vacuum/water and starting test Test Start Time: 4:00 PM 4:00 PM 4:00 PM 4:00 PM Initial Reading(Ri): 7" 71/4- 7 1/2" 71/4- Test 1/4"Test End Time: 5:00 PM 5:00 PM 5:00 PM 5:00 PM Final Reading(RF): 7" 7 1/4" 7 1/2" 71/4- Test 1/4"Test Duration: 1 hr 1 hr 1 hr 1 hr Change in Reading(RF-Ri): 0 0 0 0 Pass/Fail Threshold or Criteria: 1/16 hr 1/16 hr 1/16 hr 1/16 hr Test Result: l3x1 Pass ❑ Fail M Pass ❑ Fail M Pass -❑ Fail 121 Pass ❑ Fail Was sensor removed for testing? ❑Yes ❑ No ® NA ❑ Yes ❑ No ® NA ❑Yes ❑ No ® NA ❑ Yes ❑ No ® NA Was sensor properly replaced after ❑ Yes ❑ No ® NA ❑ Yes ❑ No IM NA ❑Yes ❑ No ® NA ❑ Yes ❑ No ® NA testing? Comments-(include information on repairs made prior to testing, and recommended follow-up for failed tests) Turbine shut down during Annual monitor certification. ' 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 asterisk(*)is"NO"or"NA",the entire UDC must be tested. (See SWRCB LG-160)