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10 <br />Facility Blame: Costco # 1031 Manteca (Page 4) <br />1. Results of Vacuum/Pressure Monitoring Equipment Testing <br />AUG 2 5 2016 <br />Manufacturer: Veeder-Root <br />Model : 332117-001 <br />System Type: ❑ Pressure ®Vacuum <br />Sensor <br />I� <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 />s1 1 <br />Sensor Functionality Test Results: Z Pass; <br />❑ Fail interstitial Communication Test Result: E Pass: ❑ Fail <br />s12 <br />Component(s) Monitored by this Sensor: <br />87b Product Line <br />Sensor Functionality Test Results: M Pass; <br />❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br />Component(s) Monitored by this Sensor: <br />87b Syphon Line <br />s13 <br />Sensor Functionality Test Results: Z Pass; <br />❑ Fail Interstitial Communication Test Result: ® 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: 2 Pass: ❑ Fail <br />Component(s) Monitored by this Sensor: <br />91 Product Line <br />s17 <br />Sensor Functionality Test Results: ® Pass; <br />❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br />Component(s) Monitored by this Sensor: <br />91 Vent Line <br />s1$ <br />Sensor Functionality Test Results: IZ Pass; <br />❑ Fail Interstitial Communication Test Result: Z Pass: ❑ Fail <br />Components) Monitored by this Sensor: <br />Additive Product Line <br />519 <br />Sensor Functionality Test Results: X Pass; <br />❑ Fail Interstitial Communication Test Result: Z Pass: ❑ Fail <br />Component(s) Monitored by this Sensor: <br />Additive Vent Line <br />S20 <br />Sensor Functionality Test Results: [Z Pass; <br />❑ Fail Interstitial Communication Test Result: ® Pass: [❑ Fail <br />How was interstitial communication verified? <br />® Leak Introduced at Far End of Interstitial Space; <br />❑ Gauge; ❑ Visual Inspection; Cather (Describe in J below) <br />Vacuum was restored to operating levels in all interstitial spaces: Yes ❑ No (If no, describe in J .below) <br />J. Comments: <br />