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Work Order`: 2269078 <br />W1101411-ing Svsictn Certification Form. Addendum for Vaectuin?Pressnre intierstitial Sensor. L -G 163-1, Enc. Il <br />1. Results ofVacuumiPmssure Monitoring Equipment Ttsting <br />This pace chaufti he useu' to dt7cumer:t testing and sen. -king of vacuum and pressure iaci-siitial sen3ors. A coFy of <br />this form rnu,,i be iocluded with the Mort wring S)--'4Wn COrtiticatirn Forin, Whiak= must be :?ravidud irk the tank: <br />system o«-oer nperatnr. The owileVoperntor 11111S1 suhrriit a Cops' of the livnitnria System Cenil'k:,Wion Forel to the <br />fecal agency regulating US -i 'stems within 30 days of icst dZ e. <br />ti'fanufaMuret: <br />Model: <br />I soles tr I1) <br />System Type: L Prc%%urMUM' <br />/rte e <br />r E <br />+ <br />Componenr(s) Monitored by this *,en,nr. <br />Sensor Fuuictioiiality'l est kesu.lt: Pass; ] }_ail <br />_ _ <br />ZPas,: ❑Fail <br />lnterstitial {;0111711Unicatiarl Ie,t ;Ztiuli _Y <br />! <br />Component(s) Monitored by this Sensor: <br />_ <br />E-7 <br />v&-,xr <br />-- --- -- —� <br />5c,lsurlru,.etioitalityTest Res,dr:,,0Pass: <br />_—_ <br />❑)-ai1 <br />-. <br />ln!cc.-utialConunnniculicta'J'csrR:salt: •, Pass; ❑ Fx11 l <br />C:ornponent{sl Monitored by this Sensor: <br />....Vi01p11)Yt- <br />i <br />, Sensor Fimctiunality Test Reskilt:C�Vass: <br />❑ J -ail <br />lnterstiIial COM mtutication Tet R N,IU0 Pass_ ❑ Fail <br />€ Ctrmp,lnent(,) Monitored by this Sensor: <br />j <br />.. <br />0r1SUr 1:URCtillilaIisy Test Result:�jYtt <br />❑Fail <br />lntrrstitEei C'oinmUnicrlicu! 'I'.s: ltesul; ( Pa.z; El 'hail' i <br />1 C'omlit nea0,1 Munilored by this Sensor: <br />_ <br />Sens+?r F'unctionalitv Test Result Pays_ <br />❑_Fail <br />Interstiritu C'omruu,ticatia:� I':,_l:;sult:ff Pass -,I Fab <br />_ <br />Com ponelit(•sl Monitored by this Sensor: <br />Sensor T,,n=crion:ality'1'cst Etesulr• ass: <br />_�`�� <br />❑ l••aiJ <br />1:+tcrdirial Com utw:icat.0,: Tei;t kt•stllt: �,.uas5: r- Fa;: � <br />—° <br />`� <br />[ Corsiponcnt(s) Monitored by this Sensor: <br />— mss -�% ..,_.. _. <br />1 45 � <br />� SCmnr Functionality Tesr Result:�F'ass; <br />Ci* tail <br />intcrsticial Cominui,ication Tcsl Kesuir�F'ass; <br />Cumponeilt(c) Monitored by this Sensor: <br />— <br />- _— <br />I <br />' <br />r. Sensor Func!it)nn1:1 "f em Result, ❑ Pass, <br />Fail <br />li1#trslitiai C'anuntinicati�,n 'E �:,t Kes�.11t: �;Pts ; Fall <br />_..._! <br />-: Com Ex,nenl(s) Monitered bytbis Sensur: <br />Sensor runcticniWity'l-est Resulc ❑ Pass; <br />P Fail <br />lrterstitial CantMr!nicaiion TestR,!iuir: L; Pas.: L; Faii <br />Contpo*aent(s) Monitored by this Sensor: <br />l � Senior ►;1nCFirtnxiity •I CU Pass; 51 Result: <br />'rasa <br />r❑ <br />:,l xnn,uni:a:ion Test Result: �❑_k'ass; T"Ril <br />lntzrstEtit'_'r <br />Ifo%t was interstitipI enInniunic:ition verified? <br />rl ` L.ak Introduced at F'nr End of Interstitia) Space.l- Vuuee; L] Visusl Inspection: L�� DRher *iJesin Sec. J. heimvl, <br />V cunni was restured to operating levels in all interstitial spaces: <br />Wyec ,J No r'Ir :! r.'eu•:•ihe in Se c. J. %elutii7 <br />l� <br />.1. Comments. <br />Page of —_ <br />1 If the sensor successfully detects a simuiared vactikin:,laressare Icak iatmdt:ced in the inverstiris] spire ;it io%c fwnhes? point }r•m the <br />sensor. Vkeuum; pressure has been demonstrated to be corniminicaring throughout the in1C1-;ties. <br />Tanknology Inc. 11000N. MoPac Expressway, Suite 500, Austin, Texas 78759 <br />