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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 /> L-1 420 TANK 1 ANNULAR 0 ❑ <br /> L-2 208 T-1 PTOBE SUMP 0 ❑ <br /> L-3 208 T-1 STP SUMP 0 ❑ <br /> L-4 409 T-2 ANNULAR 0 ❑ <br /> L-5 208 T-2 PIPING SUMP 0 ❑ <br /> L-6 208 T-2 STP SUMP 0 ❑ <br /> L-7 409 T-3 ANNULAR 0 ❑ <br /> L-8 208 T-3 STP SUMP 0 ❑ <br /> L-9 208 PIPING S-W 0 ❑ <br /> L-10 208 PIPING S-E 0 ❑ <br /> L-11 208 PIPING N-W 0 0 <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 />