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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 ID Sensor Model Component(s) Monitored Pass Fail <br /> L 1 208 DISPENSER 1-2 0 ❑ <br /> L 2 208 DISPENSER 3-4 0 ❑ <br /> L 3 208 DISPENSER 5-6 0 ❑ <br /> L 4 208 DISPENSER 7-8 0 ❑ <br /> L 5 208 87 STP SUMP 0 ❑ <br /> L 6 208 91 STP SUMP 0 ❑ <br /> L 7 208 DIESEL STP SUMP 0 ❑ <br /> L 9 409 87 ANNULAR SPACE 0 ElL 10 409 DIESEL ANNULAR SPACE 0 :E] <br /> L 11 409 91 ANNULAR SPACE 0 ❑ <br /> ❑ 0 <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 />