Laserfiche WebLink
Underground Storage Tank <br /> Monitoring System Certification Form <br /> 6. SENSOR TESTING RESULTS - COUNTRY CLUB MOBIL CIRCLE K 1-28-22 <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 /> S - 1 0 0 1 87 OCTANE PRODUCT LINE 0 ❑ <br /> S - 2 0 0 1 87 OCTANE ANNULAR SPACE ❑ ❑ <br /> S - 3 0 0 1 91 OCTANE PRODUCT LINE 0 ❑ <br /> S - 4 0 0 1 DIESEL / 91 OCTANE ANNULAR SPACE 0 ❑ <br /> S - 5 0 0 1 DIESEL PRODUCT LINE / VAPOR & VENTS 0 ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />