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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 I D"as labeled in system <br /> ro ramm/n <br /> VPH site: ❑ Yes ® No <br /> Tank ID: DSL 12K <br /> Sensor ID Sensor Model Component(s)Monitored Pass Fail <br /> 1 Optic annular T1 /T2 ® ❑ <br /> 3 Optic DSL sump 12K ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> Tank ID: DSL 3K <br /> Sensor ID Sensor Model Component(s)Monitored Pass Fail <br /> 7 Optic DSL sump 3K ® ❑ <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 a#Monitoring equipment either replaced or repaired in Section 9. <br /> Page 3 of 9 <br />