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4. UNDER-DISPENSER CONTAINMENT UDC TESTING Company Name: B.Z. Service Station Maintenance Company Address: 1041 Triangle Ct.,West Sacramento,CA 95605 Credentials: ® CSLB Licensed Contractor ❑ SWRCB Licensed Tank Tester License Type: ICC License Number: 433159 Test Equipment Used: INCON TS-STS Equipment Resolution: 0.0001 UDC# 1 UDC#2 UDC# lA UDC# UDC Manufacturer: UNK UNK UNK UDC Material: FBG FBG FBG UDC Depth: 9" V 9" Height from UDC Bottom to Top BOTTOM BOTTOM BOTTOM of Highest Piping Penetration: Height from UDC Bottom to BOTTOM BOTTOM BOTTOM Lowest Electrical Penetration: Condition of UDC prior to FAIR FAIR FAIR testing: Portion of UDC Tested' 9" V 9" 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 N/A N/A N/A Is system programmed for fail- ❑Yes❑No®NA ❑Yes❑No®NA ❑Yes❑No®NA ❑Yes❑No❑NA safe shutdown?' Was fail-safe verified to be o erational?` El Yes[INo®NA El Yes[_1No®NA [:1 Yes❑No®NA [_1 Yes❑No❑NA Wait time between applying pressure/vacuum/water and 15 MIN 15 MIN 15 MIN starting test Test Start Time: 1:58 1:58 2:20 Initial Reading(Ri): 2.5831 2.6029 1.4328 Test End Time: 2:13 2:13 2:35 Final Reading(RF): 2.5822 2.6023 1.4329 Test Duration: 15 MIN 15 MIN 15 MIN 15 MIN Change in Reading(RF-Ri): 0.0009 0.0006 0.0001 Pass/Fail Threshold or Criteria: 0.002 0.002 0.002 0.002 Test Result: ®Pass ❑Fail ®Pass ❑Fail ®Pass ❑ Fail ❑Pass ❑ Fail Was sensor removed for testing? ❑Yes❑No®NA ❑Yes❑No®NA ❑Yes❑No®NA ❑Yes❑No❑NA Was sensor properly replaced and ❑Yes❑No®NA ❑Yes❑No®NA ❑Yes❑No®NA ❑Yes❑No❑NA verified functional after testing? Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) Secondary Containment Test Results 4 of 4