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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 1 208 DIESEL 21 0 ❑ <br /> L 2 208 DIESEL 22 0 ❑ <br /> L 3 208 DIESEL 23 0 ❑ <br /> L 4 208 DIESEL 24 0 ❑ <br /> L 5 208 DIESEL 25 0 ❑ <br /> L 6 208 DIESEL 26 0 ❑ <br /> L 7 208 DIESEL 27 0 ❑ <br /> L 8 208 DIESEL 27 SAT 0 ❑ <br /> L 9 208 91 FILL SUMP 0 ❑ <br /> L 10 208 87 FILL T 2 0 ❑ <br /> L 11 208 87 TLM T 2 0 0 <br /> L 12 420 91 - 87 ANNULAR 0 ❑ <br /> L 13 208 87 SIPHON SUMP T 2 0 ❑ <br /> L 14 208 DEF SUMP PIPING 0 ❑ <br /> L 15 420 DEF ANNULAR 0 ❑ <br /> L 17 420 DIESEL ANNULAR T 2 0 ❑ <br /> L 18 208 DIESEL FILL T 2 0 ❑ <br /> L 19 208 87 STP T 1 0 ❑ <br /> L 20 208 87 TLM T 1 0 ❑ <br /> L 21 420 87 ANNULAR T 1 0 ❑ <br /> L 22 208 87 FILL T 1 0 ❑ <br /> L 23 208 91 STP SUMP 0 ❑ <br /> L 24 208 91 TLM 0 ❑ <br /> L 25 208 DISP 17-18 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 3 of 6 <br />