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• <br />Facility Name: Costco # 1031 Manteca (Page 4) <br />I. Results of Vacuum/Pressure Monitoring Equipment Testing <br />0 RECEIVEL) <br />SEP 0 4 2015 <br />ENVIRONMENTAL <br />Manufacturer: Veeder-Root <br />Model : 332117-001 <br />System Type: El Pressure Vacuum <br />Sensor <br />ID <br />Component(s) Monitored by this Sensor: <br />87a Product Line <br />s9 <br />Sensor Functionality Test Results: ® Pass; <br />❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br />Component(s) Monitored by this Sensor: <br />87a Vapor Line <br />s10 <br />Sensor Functionality Test Results: ® Pass; <br />❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br />Component(s) Monitored by this Sensor: <br />87a Vent Line <br />s11 <br />Sensor Functionality Test Results: N Pass; <br />❑ Fail Interstitial Communication Test Result: Z Pass: ❑ Fail <br />Component(s) Monitored by this Sensor: <br />87b Product Line <br />s12 <br />Sensor Functionality Test Results: [E Pass; <br />❑ Fail Interstitial Communication Test Result: E Pass: ❑Fail <br />Component(s) Monitored by this Sensor: <br />87b Syphon Line <br />s13 <br />Sensor Functionality Test Results: ® Pass; <br />❑ Fail Interstitial Communication Test Result: E Pass: ❑ Fail <br />Component(s) Monitored by this Sensor: <br />87b Vent Line <br />s14 <br />Sensor Functionality Test Results: Z Pass; <br />❑ Fail Interstitial Communication Test Result: ® Pass: ❑Fail <br />Component(s) Monitored by this Sensor: <br />91 Product Line <br />s17 <br />Sensor Functionalit Test Results: ® Pass; <br />❑ Fail Interstitial Communication Test Result: E Pass: ❑ Fail <br />Components) Monitored by this Sensor: <br />91 Vent. Line <br />s18 <br />Sensor Functionality Test Results: N Pass; <br />❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br />Component(s) Monitored by this Sensor: <br />Additive Product. Line <br />S19 <br />Sensor Functionality Test Results: ® Pass; <br />❑ Fail Interstitial Communication Test Result: 0 Pass: ❑ Fail <br />Component(s) Monitored by this Sensor: <br />Additive Vent Line <br />520 <br />Sensor Functionality Test Results: ® Pass; <br />❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br />How was interstitial communication verified? <br />Z Leak Introduced at Far End of Interstitial Space; <br />❑ Gauge; ❑ Visual Inspection; Other (Describe in J below) <br />Vacuum was restored tooperating levels in all interstitial spaces: N Yes ❑ No (If no, describe in J below) <br />J. Comments: <br />