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Facility Name: Costco#658 Tracy (Page 4) OCT 15 <br /> I. Results of Vacuum/Pressure Monitoring Equipment Testing <br /> Manufacturer: Veeder-Root Model : 331117 System Type: ❑ Pressure ®Vacuum <br /> Sensor <br /> ID <br /> s9 Component(s) Monitored by this Sensor: Additive Product Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <br /> s10 Component(s) Monitored by this Sensor: Additive Vent Line <br /> Sensor Functionality Test Results: ® Pass; ❑ Fail Interstitial Communication Test Result: ® Pass: ❑ Fail <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 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 />