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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 1 303 87 ANNULAR 0 ❑ <br /> L 2 208 87 FILL SUMP 0 ❑ <br /> L 3 304 87 FILL BRINE 0 ❑ <br /> L 4 208 87 STP SUMP 0 ❑ <br /> L 5 303 87 STP BRINE 0 ❑ <br /> L 6 303 91 AND DIESEL ANNULAR 0 ❑ <br /> L 7 208 91 FILL 0 ❑ <br /> L8 304 91 FILL BRINE 0 ❑ <br /> L 9 208 91 STP 0 ❑ <br /> L 10 304 91 STP BRINE 0 ❑ <br /> L 11 208 DIESEL FILL 0 0 <br /> L 12 304 DIESEL FILL BRINE 0 ❑ <br /> L 13 208 DIESEL STP 0 ❑ <br /> L 14 304 DIESEL STP BRINE 0 ❑ <br /> L 15 208 DISP 1-2 0 ❑ <br /> L 16 304 DISP 1-2 BRINE 0 ❑ <br /> L 17 208 DISP 3-4 0 ❑ <br /> L 18 304 DISP 3-4 BRINE 0 ❑ <br /> L 19 208 DISP 5-6 0 ❑ <br /> L 20 304 DISP 5-6 BRINE 0 ❑ <br /> L 21 208 DISP 7-8 0 ❑ <br /> L 22 304 DISP 7-8 BRINE 0 ❑ <br /> L 23 208 VENT BOX 0 ❑ <br /> L 24 304 VENT BOX BRINE 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 />