Laserfiche WebLink
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 /> L1 208 Dispenser 3 & 4 ✓❑ ❑ <br /> L2 208 Dispenser 5 & 6 ❑✓ ❑ <br /> L3 208 Dispenser 7 & 8 ✓❑ ❑ <br /> L4 208 Dispenser 9 & 10 ❑✓ ❑ <br /> L5 208 87 STP SUMP ✓❑ ❑ <br /> L6 208 87 FILL SUMP ✓❑ ❑ <br /> L7 208 91 STP SUMP ❑✓ ❑ <br /> L8 208 91 FILL SUMP ✓❑ ❑ <br /> L9 460 ANNULAR SPACE ❑✓ ❑ <br /> L10 208 Dispenser 1 & 2 ✓❑ ❑ <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 />