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Underground Storage Tank <br />Monitoring System Certification Form <br />16. SENSOR TESTING RESULTS I <br />List only sensors tested on date of this certification. List "Sensor 1D" as labeled in system programming. <br />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 />L25 <br />794380-304 <br />DIESEL STP SUMP BRINE <br />x <br />❑ <br />L26 <br />794380-208 <br />DIESEL STP SUMP <br />x <br />O <br />L27 <br />794380-304 <br />DIESEL FILL SUMP BRINE <br />x <br />❑ <br />L28 <br />794380-208 <br />DIESEL FILL SUMP <br />x <br />❑ <br />L29 <br />794380-304 <br />VENT BOX BRINE <br />X <br />❑ <br />L30 <br />794380-208 <br />VENT BOX <br />X <br />❑ <br />L31 <br />794380-303 <br />87 ANNULAR <br />X <br />O <br />L32 <br />794380-303 <br />91/DIESEL SPLIT -TANK ANNULAR <br />X <br />❑ <br />S9 <br />332175-001 <br />87 PRODUCT VAC <br />X <br />❑ <br />S10 <br />332175-001 <br />91 PRODUCT VAC <br />X <br />❑ <br />S11 <br />332175-001 <br />DIESEL PRODUCT VAC <br />X <br />❑ <br />O <br />O <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 />