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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 /> S1 ELS 87 ANNULAR SPACE 0 ❑ <br /> S2 ELS 91 ANNULAR SPACE 0 ❑ <br /> S3 ULS 87 STP SUMP 0 ❑ <br /> S4 ULS 91 STP SUMP 0 ❑ <br /> S5 ULS DIESEL STP SUMP 0 ❑ <br /> S6 ULS DISPENSER 1-2 0 ❑ <br /> S7 ULS DISPENSER 3-4 0 ❑ <br /> S8 ULS DIPSENSER 5-6 0 ❑ <br /> S9 ULS DISPENSER 7-8 0 ❑ <br /> ❑ ❑ <br /> ❑ l <br /> El <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 />