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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 systema programming. For WH roonitoring, <br />continuity must be confin-ned between the most distant points in the interstitial space to the extent <br />practical as approved by lire 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 />Fall <br />Pass <br />fail <br />NA <br />LI <br />7WOO-208 <br />Disp. 112 <br />7 <br />7 <br />❑ <br />❑ <br />D <br />L2 <br />7MBO-208 <br />Disp. 314 <br />m <br />❑ <br />❑ <br />13 <br />L8 <br />794380-208 <br />Disp. 5 <br />❑ <br />❑ <br />❑ <br />❑r <br />L4 <br />794380-20a <br />Disp, 6 <br />❑ <br />❑ <br />❑ <br />o <br />L5 <br />7MBO-209 <br />Disp. 718 <br />Til <br />i l <br />❑ <br />0 <br />❑ <br />L6 <br />794390-209 <br />Disp, 9/10 <br />(2) <br />❑ <br />❑ <br />13 <br />Q <br />L7 <br />794390-208 <br />87 STP <br />❑ <br />❑ <br />d <br />II <br />10 <br />L8 <br />794390-409 <br />87 Annular <br />❑ <br />❑ 1 <br />Cl <br />V1 <br />L9 <br />794390-208 <br />91 STIP <br />[ <br />❑ <br />1:1 <br />❑ <br />0 <br />L10 <br />794390409 <br />91 Annular <br />121 <br />❑ <br />❑ <br />❑ <br />0 <br />1-11 <br />7 3ao-wB <br />DSL STP <br />DSL Annular <br />-- <br />m <br />❑ <br />❑ <br />❑ <br />0 <br />L12 <br />794390-409 <br />91 <br />Q <br />0 <br />❑ <br />A <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />0 <br />❑ <br />❑ <br />d <br />C� <br />❑ <br />❑ <br />�l <br />❑ <br />Cl <br />❑ <br />❑ <br />El <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Q <br />❑ <br />Describe all answers marred "No" or "Fall'° and the proposed remedy in Section 8. <br />List all equipment either replaced or repaired (including cleaning or adjustment) it? Section 8_ <br />Page 3 of 6 <br />