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Underground Storage Tank <br />Monitoring System Certification Form <br />16. 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 ID <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />208 <br />87 STP <br />0 <br />❑ <br />L2 <br />208 <br />91 STP <br />0 <br />❑ <br />L3 <br />208 <br />DSL STP <br />0 <br />❑ <br />L4 <br />420 <br />87 ANNULAR <br />0 <br />❑ <br />L5 <br />420 <br />91/DSL ANNULAR <br />0 <br />❑ <br />FLOATS <br />1-2 <br />0 <br />❑ <br />FLOATS <br />3-4 <br />0 <br />❑ <br />FLOATS <br />5-6 <br />0 <br />❑ <br />FLOATS <br />7-8 <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <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 />