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SWRCB,January 2402 <br /> Page"-- of P' <br /> , 7. UNI ER-DISPENSER CONT ,NT TESTING <br /> FMethod <br /> eveloped By: D UDC Manufacturer 0 Industry Standard D Professional Engineer <br /> _ 0 Other(Spec6) <br /> sed: 0 Pressure D Vacuum Mydrostatic <br /> C]Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> LDC# UDC# UDC# TuDc# <br /> UDC Manufacturer: ,t <br /> UDC Material: <br /> UDC Depth: <br /> Height from UDC Bottom to Top <br /> of Hi est PipingF metration: eVe <br /> Height from UDC Bottom to — <br /> Lowest Electrical Penetration: _ d <br /> Condition of UDC prior to <br /> testin <br /> Portion of UDC Tested <br /> Does turbine shut down when <br /> UDC sensor detects liquid(both 3 Yes D No CSA O Yes 0 No 2 A D Yes D No 0 NA D Yes D No 0 NA <br /> product and water?° <br /> Turbine shutdown response time <br /> Is system programmed for fail- <br /> safe shutdown?` 1'fires 0 No �+tA 0 Yes 0 No O NA D Yes 0 No 0 NA C7 Yes C]No 0 NA <br /> Was fail-safe verified to be — <br /> 0 onal?" J r"es 0 No JTA 0 Yes 0 No ;NA 0 Yes 0 No 0 NA C7 Yes 0N 0 NA <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test Q <br /> Test Start Time: _ 41" fa � <br /> Initial ReadinRs): <br /> a <br /> Test End Time- _ J. <br /> Final Readin ): <br /> P <br /> Test Duration' / <br /> Change in Readtn <br /> Pass/Fail Threshold or Criteria: — <br /> TestResult: <br /> Ail Pass Q Fail ass D Fail 0 Pass 0 Fail D Pass D Fait <br /> Was sensor removed for teil. <br /> G Y' 0 No 0 NA es 0 No D NA D Yes 0 No 0 NA 0 Yes ❑No 0 NA <br /> Was sensor properly replac <br /> verified functional after tesi �es ONO DNA es 0 No 0 NA 0 Yes D Na fl NA D Yes D No C7 NA <br /> Comments---(indu a information, n e firs made Pi5ror to testing, and recommended ollaw-hp or ailed tests) <br /> �'t✓f- �`� � � ./.orf <br /> 'if the entire depth of the UDC is not;, AA,specify how much was tested. If the answer to Anny of the questions indicated with an <br /> asterisk(*)is"NO"or"NA",the entirE UDC must be tested. (See SWRCB LG-160) <br /> 9 "d ZbE919tr602 T SJO40elu03 AI aI T 13 e66 :01 21 02 noW <br />