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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 /> FLOATS 1-2 0 ❑ <br /> FLOATS 3-4 0 ❑ <br /> L3 420 T5 AST MST ANN 0 ❑ <br /> L4 420 T6 AST SIPHON ANN 0 ❑ <br /> L5 208 AST TRANS SUMP 0 ❑ <br /> L9 208 87 STP 0 ❑ <br /> L10 208 91 STP 0 ❑ <br /> L11 208 DSL STP WEST 1 .5 HP 0 ❑ <br /> L12 208 DSL- STP 5 HI FLO 0 ❑ <br /> L13 208 DSL EAST SYPHON SUMP 0 ❑ <br /> L14 420 87-91 ANNULAR 0 0 <br /> L15 420 DSL WEST ANNULAR 0 ❑ <br /> L16 208 DSL EAST 5HR STP 0 ❑ <br /> FLOATS 5-6 0 ❑ <br /> FLOATS 7-8 0 ❑ <br /> FLOATS 9-10 0 ❑ <br /> FLOATS 11-12 0 ❑ <br /> FLOATS 13-14 0 ❑ <br /> FLOATS 15-16 0 ❑ <br /> FLOATS 15A-14 0 ❑ <br /> FLOATS 14A-13 0 ❑ <br /> FLOATS 13A-12 0 ❑ <br /> FLOATS 12A-11 0 ❑ <br /> FLOATS 10A-9 AND 9A 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 />