Laserfiche WebLink
IUN 122014 <br />7 Un4 A <br />M <br />ENVIRONMENTAL HEALTH <br />..... . .... <br />11 <br />If the entire depth of the UDC is not tested, specify how much was tested. If the answer to M of the questions indicated with an <br />asterisk (*)is "NO" or "NA", the entire UDC must be tested. (See SWRCBLG-160) <br />page of <br />SWRCB, January 2002 <br />-,&— <br />7 UNDER -DISPENSER <br />iTest Method Developed By: <br />DC Manufacturer <br />Industry Standard A Professionai Engineer <br />0 Other <br />Test Method Used- <br />0 Pressure <br />0 Vacuum —A -f ry-drostatic <br />0 Other <br />'rest Equipment Used-, Caldwell Level Change Indicator <br />, <br />"�17 <br />7 11 <br />pEquiment Resolution: M2 <br />m a <br />pg <br />01 <br />.. ... ... ... . "I'll <br />Rv <br />C Mann acturer <br />Unknown <br />Unknown <br />Material; <br />"Height <br />from UDC Bottom to <br />Lowest Electrical Penetration: <br />Water Line 12" <br />Ye's <br />Not AlarmedVIII <br />�II�IIIIIIIIIIIII�r��I�I�I <br />is system progarmned for fail- <br />fe shutdown?U <br />II <br />Was fail-safe verified to be <br />operational?' <br />Wait time between applying <br />Minutes <br />water and startin test <br />Test End,rime: <br />Final Reading (RI-): <br />Test Duration: <br />30 Minutes <br />30 Minut <br />Chan c in Readin (RF lio:_ <br />Comments — (include information on repairs ma�k,,,prior to testin x and rtecornmendedLollow,-,upforfai(ed tests) <br />was <br />... ................. - <br />IUN 122014 <br />7 Un4 A <br />M <br />ENVIRONMENTAL HEALTH <br />..... . .... <br />11 <br />If the entire depth of the UDC is not tested, specify how much was tested. If the answer to M of the questions indicated with an <br />asterisk (*)is "NO" or "NA", the entire UDC must be tested. (See SWRCBLG-160) <br />