Laserfiche WebLink
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 />L 1 <br />794390-420 / Illegible <br />Annular <br />❑✓ <br />❑ <br />❑ <br />❑ <br />❑✓ <br />L2 <br />794380-208 / Illegible <br />Piping sump <br />❑✓ <br />❑ <br />❑ <br />❑ <br />❑✓ <br />L3 <br />794380-208 / 1567302 <br />Vent sump <br />❑✓ <br />❑ <br />❑ <br />❑ <br />❑✓ <br />L4 <br />794380-208/1076768 <br />Transition sump <br />❑✓ <br />❑ <br />EL <br />❑ <br />❑✓ <br />L5 <br />794390-420/1504121 <br />Inside piping tray <br />❑✓ <br />❑ <br />EL <br />❑ <br />❑✓ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ I <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 />❑I <br />❑ <br />❑ <br />❑ <br />❑ <br />❑1 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑I <br />❑ <br />❑ <br />❑ <br />❑ <br />❑I <br />❑ <br />❑ <br />I <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 />