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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 /> L1 208 87 STP ✓❑ ❑ <br /> L2 208 87-2 STP ✓❑ ❑ <br /> L3 208 91 STP ❑✓ ❑ <br /> L4 208 DSL STP ✓❑ ❑ <br /> L5 301 87 Main Annular ✓❑ ❑ <br /> L6 301 87-2 Annular ❑✓ ❑ <br /> L7 301 91 Annular ✓❑ ❑ <br /> L8 301 DSL Annular ❑✓ ❑ <br /> L9 208 87-2 Fill ❑✓ ❑ <br /> L10 208 87 Main Fill ✓❑ ❑ <br /> L11 208 91 Fill ❑✓ ❑ <br /> L12 208 DSL ❑✓ ❑ <br /> 001 Dispenser 1 &2 Stand Alone ✓❑ ❑ <br /> 001 Dispenser 3 &4 Stand Alone ❑✓ ❑ <br /> 001 Dispenser 5 & 6 Stand Alone ❑✓ ❑ <br /> 001 Dispenser 7 & 8 Stand Alone ❑✓ ❑ <br /> 001 Dispenser 9 & 10 Stand Alone ❑✓ ❑ <br /> 001 Dispenser 11 & 12 Stand Alone ✓❑ ❑ <br /> 001 Dispenser 13 & 14 Stand Alone ❑✓ ❑ <br /> 001 Dispenser 15 & 16 Stand Alone ❑✓ ❑ <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 3of6 <br />