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HomeMy WebLinkAbout2018 FMC RESULTSLG163-1,Enc.IIMonitoring System Certification Form: Addendum for Vacuum/ Pressure Interstitial Sensors I. Results of Vacuum/ Pressure Monitoring Equipment Testing #643 Bakersfield - 5/16/18 Manufacturer:Model: 857280-100 System Type: Sensor ID 87A Product Vapor 87A Vent 87B Product 87B Siphon 87B Vent Premium Product Premium Vent Lubrizol Product Lubrizol Vent How was interstitial communication verified? Vacuum was restored to operating levels in all interstitial spaces:xYes  No (If no describe in Sec. J, below ) Page of This page should be used to document testing and servicing of vacuum and pressure interstitial sensors. A copy of this form must be included with the Monitoring System Certification Form, which must be provided to the tank system owner/ operator. The owner/ operator must submit a copy of the Monitoring System Certification Form to the local agency regulating UST Systems within 30 days of test date. S-2 Sensor Functionality Test Result: xPass  fail Interstitial Communication Test Result: xPass  fail Veeder-Root Component(s) Monitored by this Sensor Component(s) Monitored by this Sensor: Interstitial Communication Test Result: xPass  failS-1 Sensor Functionality Test Result: xPass  fail  Pressure xVacuum Interstitial Communication Test Result: xPass  fail S-3 Component(s) Monitored by this Sensor: Sensor Functionality Test Result: xPass  fail Interstitial Communication Test Result: xPass  fail S-4 Component(s) Monitored by this Sensor: Sensor Functionality Test Result: xPass  fail S-12 Component(s) Monitored by this Sensor: Sensor Functionality Test Result: xPass  fail Interstitial Communication Test Result: xPass  fail S-10 Component(s) Monitored by this Sensor: Sensor Functionality Test Result: xPass  fail Interstitial Communication Test Result: xPass  fail J.Comments: If the sensor successfully detects a simulated vacuum/pressure leak introduced in the interstitial space at the furthest point from the sensor, vacuum/pressure has been demonstrated to be communicating throughout the interstice. xLeak introduced at far end of interstitial space Gauge  Visual Other (Describe in Sec. J,below) S-14 Component(s) Monitored by this Sensor: Sensor Functionality Test Result: xPass  fail Interstitial Communication Test Result: xPass  fail S-9 Component(s) Monitored by this Sensor: Sensor Functionality Test Result: xPass  fail Interstitial Communication Test Result: xPass  fail S-5 Component(s) Monitored by this Sensor: Sensor Functionality Test Result: xPass  fail Interstitial Communication Test Result: xPass  fail S-6 Component(s) Monitored by this Sensor: Sensor Functionality Test Result: xPass  fail Interstitial Communication Test Result: xPass  fail