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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 Component(s) Monitored Function Continuity <br /> ID Model Pass Fail Pass Fail NA <br /> L1 208 91-1 STP ❑ ❑ ❑ <br /> L2 208 91-2 STP ❑ ❑ ❑ <br /> L3 208 87 STP ❑ ❑ ❑ <br /> L4 208 Diesel ❑ ❑ ❑ <br /> L5 420 91-91-Diesel Annular ❑ ❑ ❑ <br /> L6 420 87 Annular ❑ ❑ ❑ <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 />