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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 />L4 <br />794380-208 / 1715568 <br />Transition Sump <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 />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />101 <br />❑ <br />1 <br />❑ <br />1 <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 />