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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 /> L1 208 87 Fill Sump ✓❑ ❑ <br /> L2 208 87 STP Sump ✓❑ ❑ <br /> L3 303 87 Annular ❑✓ ❑ <br /> L4 208 91 Fill Sump ✓❑ ❑ <br /> L5 208 91 STP Sump ✓❑ ❑ <br /> L6 303 91 Annular ❑✓ ❑ <br /> L7 208 Vent Sump ✓❑ ❑ <br /> L8 208 Dispenser 1 & 2 UDC ❑✓ ❑ <br /> L9 208 Dispenser 3 & 4 UDC ❑✓ ❑ <br /> L10 208 Dispenser 5 & 6 UDC ❑✓ ❑ <br /> L11 208 Dispenser 7 & 8 UDC ❑✓ ❑ <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 3of6 <br />