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Mar.03.2012 02:38 PM nvironmental 559 29 445 PAGE. 9/ 10 <br />S W i,CB, January 2002 Page _ of <br />%_ UNDER -DISPENSER CONTAINMENT <br />NTAlpiE T (UDQ TESTING <br />Test Method Developed By: <br />U UDC Manufacturer <br />U Other (Specify) <br />ndustry Standard <br />Cl Professional Engineer <br />"fest Method Used: <br />❑ Pressure <br />U Other (Specify) <br />❑ Vacuum <br />aiydrostatie <br />'rest Equipment Used: -} <br />Equipment Resolution: <br />UDC # tj <br />UDC # 119 <br />UDC # <br />UDC # <br />UDC Manufacturer: <br />UCC Material: <br />UDC Depth: <br />MAR <br />Height form [.JDC Bottom to Top <br />of Highest Piping Penetration: <br />1 <br />Height from UTC Bottom to <br />Lowest Electrical Penetration: <br />is <br />Condition of UDC prior to <br />testing: <br />Portion of UDC; Tested <br />® <br />- <br />Does turbine shut down when <br />UDC sensor detects liquid (both <br />product and water)?* <br />-��Ij <br />C1 Yes ❑ No [ONA <br />❑ Y'es ❑ No A4A <br />I I Yes <br />fl No n NA <br />., ., <br />n Yes ❑ No <br />❑ NA <br />Turbine shutdown res ase time <br />K} u <br />- <br />is system programmed for fail- <br />safe shutdown?* <br />0 Yes ❑ No IONA <br />U Yes U No I1PNA <br />Cl Yes <br />❑ No ❑ NA <br />❑ Yes ❑ No <br />Ll NA <br />Was fail-safe verified to be <br />operational?* <br />❑ Yes C1 No VNA <br />U Yes 1.1 No F*A <br />n Yes <br />❑ No ❑ NA <br />O Yes 0 No <br />0 NA <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test <br />- w. - <br />'rest Start Time <br />b <br />Initial ReadingRO., <br />° <br />a„ <br />Test End Time: <br />b: <br />Final Reading Rr • <br />1. <br />Test Duration: <br />is ; A W <br />_ <br />Change in Readin RF -„Et°): - <br />10W I I <br />001 <br />_.-,.v_............._.� <br />__ <br />Pais/Fail Threshold or Criteria: <br />F <br />- „❑ <br />Test Result: <br />11D P{►.ss ❑ Fail <br />[P Pass 0 Fail <br />Pass ❑ Fail <br />0 Pass 0 Fail <br />Was sensor removed for testing? <br />D Yes ("I No VA <br />I 'I Yes fl No A <br />❑ Yes <br />U No U NA <br />Fl Yes ❑ No <br />❑ NA <br />Was sensor properly replaced and <br />verified functional after testing! <br />Yes ❑ No Ll C dA <br />❑ Yes CJ No AA❑Yes <br />❑ No Ll NA <br />l_I Yes I I No <br />I] NA <br />ComlmeAAts„-.(include in ormaliun un re airs made rior to tertin ,and recommended ollow-u far failed lest:) <br />' if the entire depth of the U LSC is not tested, specify how m uch was tested. If the answer to g► of the questions indicated with an <br />asterisk (*) is "NO” or "NA", the entire UDC must be tested, (See SWRCB LG -160) <br />