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MAR-13-2008 09 : 10 AM GETTLER—RYAN INC. 925 551 4770 P. 05 <br /> Secondary Containment Testing Report Form- Page 4 of 5 <br /> r Dispenser# 1/2 Dispenser# Dispenser# Dispenser N <br /> Is UDC'Exempt from Testing? Yes; No Yes; <br /> _ ❑ No Y es: Na Yes: No <br /> UDC Manufacturer: Unknown `—_ -_ _ _ ._�..... <br /> IIDC Model: Fiberglass <br /> UDC: Depth: 36" <br /> Height from UDC E3ottom to <br /> of Hi hest Pi in Penetratian: <br /> Height from IIDC Bottom to <br /> Lowest Electrical Penetration: ___ _ <br /> Portion of UDC Tested' to aboveIf <br /> turbine shuts down when UDC [I N/A N/A (�A,/n (�N/A <br /> sensor detects liquid,specify <br /> turbine shutdown response hme, 7 Reeonds minutex, nimulc�. minutc`t. minutus, <br /> Wait time betweenapp Y� 8 I in <br /> pressure/vacuum/water and 15 minUks. nnnnlce• minutes. minUics, <br /> starting test__ <br /> Test Start Date/Time; 12.28p <br /> Initial Reading --- -- -- -- -_..... <br /> _ 8 6.4773 <br /> Test End Wte/Time: _ <br /> Final Rea—ding(Ri!): 6.4780 <br /> ange,n Reading(R1: -Rt): q.0007 <br /> Pass/Fail Threshold or Criteria: .002 <br /> Test Reset : IWON; F211 Pass; Fail ]Praia; .!Fall 1~a�; Fail <br /> Was leak detection sensor <br /> Was lea replaced and verified as ® Yes; ❑ No; ❑ Yes; ❑ No. Yes;Q No; C Yes, El No; <br /> properly r after d an v N/A(toot RenlovuM) � N/A(tout Removed) � N/A(Not Henioved) (�N/A iNut kuwved) <br /> H. Testing of Fill Riser Containment Sumps ❑N/A(No fill riser sumps) <br /> rill Riser Containment Sumps are Present, but were Not Tested <br /> Test Method Developed By; [] Sump Manut'acturer;_® Industry Standard. [l PF:;E]Other(Specify,): <br /> 'Test Method Used: Pressure; E! Vacuurn; ❑ hlydrostatic; [] Other <br /> Test Equipment Used: - Equipment Resolution: _ <br /> - Sump 0. Sump#: Sump N. Sump#: <br /> Stomp Diameter(inches): <br /> Sump Depth(inches) <br /> Portion of sump'rested <br /> Wait time between applying <br /> pressure/vacuum/water and i <br /> starting test(minutes): <br /> 'fest Start Date/Time: <br /> Initial ReadinP,(RI): <br /> Test End Date/7'ime: <br /> Final Reading(Rry <br /> Change in Reading(RF- <br /> If the entire depth ofthe UDC: is not tested.specify haw much was tested. If the answer to spy of the questions, indicated with an <br /> asterisk M is"NO"or"N!A",the entire UDC must he tested. lice 4WItc.'ts i ural ctuiaan4e I,citcr i.0-srni <br /> 1 V-slit-4/4 -A%,4,un1doc+.ari; 1121261/02 <br />