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0 0 <br /> Facility Name: Costco#038 Stockton (Page 4) <br /> I. Results of Vacuum/Pressure Monitoring Equipment Testing <br /> Manufacturer: Veeder-Root Model : 331117 System Type: ❑ Pressure ®Vacuum <br /> Sensor <br /> ID <br /> st Component(s) Monitored by this Sensor: Additive Product Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> s2 Component(s) Monitored by this Sensor: Additive Vent Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> How was interstitial communication verified? <br /> ® Leak Introduced at Far End of Interstitial Space; ❑ Gauge; ❑ Visual Inspection; Other (Describe in l below) <br /> Vacuum was restored tooperating levels in all interstitials aces: ® Yes ❑ No (If no, describe in J below) <br /> J. Comments: RECEI V&& <br /> MAP, 1 7 2015 <br /> CNVIRONMENTAI. <br /> fiEA."'U r1CO�pT�����Y <br />