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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 1 208 / 304 DISP 3-4 / BRINE 0 ❑ <br /> L 2 208 / 304 DISP 1-2 / BRINE 0 ❑ <br /> L 3 208 / 304 DISP 7-8 / BRINE 0 ❑ <br /> L 4 208 / 304 DISP 5-6 / BRINE 0 ❑ <br /> L 5 208 / 304 DISP 11-12 / BRINE 0 ❑ <br /> L 6 208 / 304 DISP 9-10 / BRINE 0 ❑ <br /> L 7 208 / 304 DISP 15-16 / BRINE 0 ❑ <br /> L 8 208 / 304 DISP 13-14 / BRINE 0 ❑ <br /> L 9 208 / 304 87 STP SUMP / BRINE 0 ❑ <br /> L 10 208 / 304 87 FILL / BRINE 0 ❑ <br /> L 11 208 / 304 91 FILL SUMP / BRINE 0 0 <br /> L 12 208 / 304 91 FILL SUMP / BRINE 0 ❑ <br /> L 13 208 / 304 DIESEL STP SUMP / BRINE 0 ❑ <br /> L 14 208 / 304 DIESEL FILL SUMP / BRINE 0 ❑ <br /> L 15 303 87 ANNULAR 0 ❑ <br /> L 16 303 91 / DIESEL ANNULAR 0 ❑ <br /> L 17 208 / 304 VENT BOX / BRINE 0 ❑ <br /> S-17 VAC 87 PRODUCT 0 ❑ <br /> S-18 VAC 87 VAPOR 0 ❑ <br /> S-19 VAC 87 VENT 0 ❑ <br /> S-20 VAC 91 PRODUCT 0 ❑ <br /> S-21 VAC 91 VENT 0 ❑ <br /> S-22 VAC DIESEL PRODUCT 0 ❑ <br /> S-23 VAC DIESEL VENT 0 ❑ <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 />