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Underground Storage Tank <br />Monitoring System Certification Form <br />16. 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 />L-1 <br />VR -208 <br />T-1 Diesel STP Sump <br />N <br />❑ <br />L-2 <br />VR -208 <br />T-2 87 STP Sump <br />N <br />❑ <br />L-3 <br />VR -208 <br />T-3 91 STP Sump <br />N <br />❑ <br />L-4 <br />VR -302 <br />T-3 91 Tank Annular <br />® <br />❑ <br />L-5 <br />VR -302 <br />T-2 87 Tank Annular <br />® <br />❑ <br />L-6 <br />VR -302 <br />T-1 Diesel Tank Annular <br />® <br />❑ <br />❑ <br />❑ <br />#1 <br />LS -10 <br />Waste Oil Annular/ Ronan Monitor <br />® <br />❑ <br />#2 <br />LS -3 <br />High Level sensor/ Ronan Monitor <br />® <br />❑ <br />#3 <br />LS -3 <br />Waste Oil Sump sensor/ Ronan Monitor <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 />❑ <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 />