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Underground Storage Tank Release Detection Equipment Testing Report Form 6. SENSOR TEST RESULTS ❑ Check this box if Appendix 5.1 continuation page is attached. List only sensors tested. List "Sensor ID"as labeled in system programming. For VPH monitoring, continuity must be confirmed between the most distant points in the interstitial space to the extent practical as approved by the Unified Program Agency and the sensor that monitors the zone. Sensor Sensor Function Continuity ID Model Component(s) Monitored Pass Fail Pass Fail NA L -1 2 0 8 DISPENSER 1 / 2 0 ❑ ❑ ❑ ❑ L - 2 2 0 8 DISPENSER 3 / 4 0 ❑ ❑ ❑ ❑ L - 3 2 0 8 DISPENSER 5 / 6 0 ❑ ❑ ❑ ❑ L - 4 2 0 8 DISPENSER 7 / 8 0 ❑ ❑ ❑ ❑ L - 5 2 0 8 DISPENSER 9 / 10 0 ❑ ❑ ❑ ❑ L - 6 2 0 8 91 OCTANE STP SUMP 0 ❑ ❑ ❑ ❑ L - 7 2 0 8 DIESEL STP SUMP 0 ❑ ❑ ❑ ❑ L - 8 2 0 8 87 OCTANE S T P SUMP 0 ❑ ❑ ❑ ❑ L - 9 4 0 9 91 OCTANE / DIESEL ANNULAR SPACE 0 ❑ ❑ ❑ ❑ L - 10 4 0 9 87 OCTANE ANNULAR SPACE 0 ❑ ❑ ❑ ❑ L - 11 2 0 8 87 OCTANE FILL SUMP 0 ❑ ❑ ❑ ❑ L - 12 2 0 8 DIESEL FILL SUMP 0 ❑ ❑ ❑ ❑ L - 13 2 0 8 91 OCTANE FILL SUMP 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Describe all answers marked "No"or "Fail"and the proposed remedy in Section 8. List all equipment either replaced or repaired (including cleaning or adjustment) in Section 8. Page 3 of 6