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Underground Storage Tank <br /> Release Detection Equipment Testing Report Form <br /> 6. SENSOR TEST RESULTS <br /> ❑ Check this box if Appendix 5.1 continuation page is attached. <br /> List only sensors tested. List "Sensor ID"as labeled in system programming. For VPH monitoring, <br /> continuity must be confirmed between the most distant points in the interstitial space to the extent <br /> practical as approved by the Unified Program Agency and the sensor that monitors the zone. <br /> Sensor Sensor Function Continuity <br /> ID Model Component(s) Monitored pass Fail Pass Fail NA <br /> L-1 30-3221-1A 87 ANNULAR SPACE 0 ❑ ❑ ❑ 0 <br /> L-2 30-3221-1 87 STP SUMP 0 ❑ ❑ ❑ ED <br /> L-3 30-3221 A DIESEL ANNULAR SPACE 0 ❑ ❑ ❑ 0 <br /> L-4 30-3221-1 DIESEL STP SUMP 0 ❑ ❑ ❑ 0 <br /> L-5 30-3221-1 DISPENSER 1-2 0 ❑ ❑ ❑ 0 <br /> L-6 30-3221-1 DISPENSER 3-4 0 ❑ ❑ ❑ 0 <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ <br /> Describe all answers marked "No"or "Fail"and the proposed remedy in Section 8. <br /> List all equipment either replaced or repaired (including cleaning or adjustment) in Section 8. <br /> Page 3 of 6 <br />