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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 <br />ID <br />Sensor <br />Model <br />Component(s) Monitored <br />Function <br />Continuity <br />Pass <br />Fail <br />Pass <br />Fail <br />NA <br />L1 <br />208 <br />91-1 STP <br />❑ <br />❑ <br />❑ <br />L2 <br />208 <br />91-2 STP <br />❑ <br />❑ <br />❑ <br />L3 <br />208 <br />87 STP <br />❑ <br />❑ <br />❑ <br />L4 <br />208 <br />Diesel <br />❑ <br />❑ <br />❑ <br />L5 <br />420 <br />91 -91 -Diesel Annular <br />❑ <br />❑ <br />❑ <br />L6 <br />420 <br />87 Annular <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <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 a. <br />List all equipment either replaced or repaired (including cleaning or adjustment) in Section a. <br />Page 3 of 6 <br />