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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 1 323 DISP 1-2 0 ❑ <br /> L 2 323 DISP 3-4 0 ❑ <br /> L 3 323 DISP 5-6 0 ❑ <br /> L 4 323 DISP 7-8 0 ❑ <br /> L 5 323 DISP 9-10 0 ❑ <br /> L 6 323 DISP 11-12 0 ❑ <br /> L 7 323 DISP 13-14 0 ❑ <br /> L 8 323 DISP 15-16 0 ❑ <br /> L 9 323 DISP 17-18 0 ❑ <br /> L 10 409 87 ANNULAR SPACE 0 ❑ <br /> L 11 323 87 STP SUMP 0 0 <br /> L 12 409 89 ANNULAR SPACE 0 ❑ <br /> L 13 323 89 FILL SUMP 0 ❑ <br /> L 14 323 89 STP SUMP 0 ❑ <br /> L 15 409 91 ANNULAR SPACE 0 ❑ <br /> L 16 323 91 FILL SUMP 0 ❑ <br /> L 17 323 91 STP SUMP 0 ❑ <br /> C 1 344 87 FILL SUMP 0 ❑ <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 />