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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 <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />S18 <br />857080-112 <br />T1 Unleaded 87A Turbine Sump Mag Sensor <br />® <br />❑ <br />S20 <br />857080-112 <br />T2 Unleaded 87B Turbine Sump Mag Sensor <br />® <br />❑ <br />S22 <br />857080-112 <br />T3 Unleaded 91 Turbine Sump Mag Sensor <br />® <br />❑ <br />S25 <br />332117 <br />T1 Unleaded 87A Product Line Vacuum <br />® <br />❑ <br />S26 <br />332117 <br />T1 Unleaded 87A Vapor Line Vacuum <br />® <br />❑ <br />S27 <br />332117 <br />T1 Unleaded 87A Vent Line Vacuum <br />® <br />❑ <br />S28 <br />332117 <br />T2 Unleaded 87B Product Line Vacuum <br />® <br />❑ <br />S29 <br />332117 <br />T2 Unleaded 87B Siphon Line Vacuum <br />® <br />❑ <br />S30 <br />332117 <br />T2 Unleaded 87B Vent Line Vacuum <br />® <br />❑ <br />L31 <br />332117 <br />T3 Unleaded 91 Product Line Vacuum <br />® <br />❑ <br />L32 <br />332117 <br />T3 Unleaded 91 Vent Line Vacuum <br />® <br />❑ <br />L33 <br />332117 <br />T4 Additive Product Line Vacuum <br />® <br />❑ <br />L34 <br />332117 <br />T4 Additive Vent Line Vacuum <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <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 />