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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 1 420 TANK 1 ANNULAR x ❑ <br /> L 2 208 T 1 PROBE SUMP ix ❑ <br /> L 3 208 T 1 STP SUMP ix ❑ <br /> L 4 409 T 2 ANNULAR x ❑ <br /> L 5 208 T 2 PIPING ix ❑ <br /> L 6 208 T 2 STP SUMP ix ❑ <br /> L 7 409 T 3 ANNULAR IR ❑ <br /> L 8 208 T 3 STP SUMP ix ❑ <br /> L 9 208 PIPING SUMP S-W ix ❑ <br /> L 10 208 PIPING SUMP S-E N ❑ <br /> L 11 208 PIPING SUMP N-W ix ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 3 of 6 <br />