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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 ID Sensor Model Component(s) Monitored Pass Fail <br /> L-1 208/304 DISP 1-2 0 ❑ <br /> L-2 208/304 DISP 3-4 0 ❑ <br /> L-3 208/304 DISP 5-6 0 ❑ <br /> L-4 208/304 DISP 7-8 0 ❑ <br /> L-5 208/304 DISP 9/10 0 ❑ <br /> L-6 208/304 DISP 11/12 0 ❑ <br /> L-7 303 87 ANNULAR 0 ❑ <br /> L-8 303 91- DIESEL ANNULAR 0 ❑ <br /> ❑ ❑ <br /> L-10 208/304 87 FILL 0 ❑ <br /> L-11 208/304 91 STP 0 0 <br /> L-12 208/304 91 FILL 0 ❑ <br /> L-13 208/304 DIESEL STP 0 ❑ <br /> L-14 208/304 DIESEL FILL 0 ❑ <br /> L-15 208/304 VENT BOX 0 ❑ <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 />