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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 lD <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />794380-409 <br />Supreme Annular Space <br />N <br />❑ <br />L2 <br />794380-208 <br />Supreme STP Sump <br />N <br />❑ <br />L3 <br />794380-409 <br />Regular Annular Space <br />N <br />❑ <br />L4 <br />794380-208 <br />Regular STP Sump <br />N <br />❑ <br />N/A <br />S Bravo Chain & Float <br />UDC 1-2 <br />N <br />❑ <br />N/A <br />S Bravo Chain & Float <br />UDC 3-4 <br />N <br />❑ <br />N/A <br />S Bravo Chain & Float <br />UDC 5-6 <br />N <br />❑ <br />N/A <br />S Bravo Chain & Float <br />UDC 7-8 <br />N <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 />