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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 6. SENSOR TESTING RESULTS <br /> List only sensors tested on date of this certification. List "Sensor ID"as labeled in system <br /> programming. Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L-1 794380-420 Diesel 1 Annular 0 ❑ <br /> L-2 794380-420 Diesel 2 Annular 0 ❑ <br /> L-3 794380-420 Diesel 3 Annular ❑ <br /> L-4 794380-208 Dsl Trans Sump 1 0 ❑ <br /> L-5 794380-208 Dsl Trans Sump 2 0 ❑ <br /> L-6 794380-208 Dsl Trans Sump 3 0 ❑ <br /> L-11 OWI-1 OWS High Fluid Alarm 0 ❑ <br /> L-12 794380-208 Disp 19 Master 0 ❑ <br /> L-13 794380-208 Disp 19 Satellite 0 ❑ <br /> L-14 794380-208 Disp 20 Master 0 ❑ <br /> L-15 794380-208 Disp 20 Satellite 0 ❑ <br /> L-16 794380-208 Disp 21 Master ❑ <br /> L-17 794380-208 Disp 21 Satellite 0 ❑ <br /> L-18 794380-208 Disp 22 Master 0 ❑ <br /> L-19 794380-208 Disp 22 Satellite 0 ❑ <br /> L-20 794380-208 Disp 23 Master ❑ <br /> L-21 794380-208 Disp 23 Satellite 0 ❑ <br /> L-22 794380-208 Disp 24 Master ❑ <br /> L-23 794380-208 Disp 24 Satellite 0 ❑ <br /> L-24 794380-208 Disp 25 Master 0 ❑ <br /> L-25 794380-208 Disp 25 Satellite 0 ❑ <br /> L-26 794380-208 Disp 26 Master ❑ <br /> L-27 794380-208 Disp 26 Satellite 0 ❑ <br /> L-28 794380-208 Disp 27 Master 0 ❑ <br /> Describe all answers marked "No"or "Fail"and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 3of6 <br />