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SWRCB, January 2002 0 Page of ' 6. UNDER -DISPENSER CONTAINMENT (UDC) TESTING 1 est Method Developed By: ❑ UDC Manufacturer ❑ Industry Standard ❑ Professional Engineer ❑ Other (Spec) Test Method Used: _ Pressure ❑ Vacuum ❑ Hydrostatic Other (Specify) Test Equipment Used: Equipment Resolution: 77'p� J1 'yA�71�`i. L�•t1 LTC # 7�� /� 11 UD # p� �/ DC # DC # UDC Manufacturer: - UDC Material: UDC Depth: Height from UDC Bottom to Top Of Hi hest Piping Penetration: Height from UDC Bottom to Lowest Electrical Penetration: Condition of UDC prior to testing: Portion of UDC Tested Does turbine shut down when UDC sensor detects liquid (both _ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No NA ❑ Yes ❑ No ❑ NA product and water)?* Turbine shutdown response time Is system programmed for fail- safe shutdown?' _yes ❑ No ❑ NA ❑ Yes 0 N ❑ NA D Yes E, No NA ❑ Yes ❑ No ❑ NA Was fail-safe verified to be o erational? [ Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No -i NA ❑Yes ❑ No ❑ NA Wait time between applying pressure/vacuum/water and starting test Test Start Time: Initial Reading (Rj): Test End Time: Final Reading (RF): Test Duration: Change in Reading (RF -R,): Pass/Fail Threshold or Criteria: Test Result: ❑ Pass ❑ Fail, : ❑ : Pass . '❑ Fail ❑ Pass , ❑ Fail ❑ Pass OF": Was sensor removed for testing? = Yes ❑ No ❑ NA ❑ Yes ❑ No ❑ NA ❑ Yes ❑ No NA ❑ Yes ❑ No ❑ NA Was sensor properly replaced and verified functional afttestin er g? ` yes ❑ No ❑ NA ❑ Yes 0 No ❑ NA ❑ Yes ❑ No i_i NA ❑ Yes ❑ No ❑ NA COMMents — (include information on repairs made prior to testing and recommetaded follow-up for failed tests) 1 If the entire depth of the UDC is not tested, specify how much was tested. If the answer to gny of the questions indicated with an asterisk(*) is "NO" or "NA", the entire UDC must be tested. (See SWRCB LG -160)