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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 /> L - 1 2 0 8 DIESEL DISPENSER 21 0 ❑ <br /> L - 2 2 0 8 DIESEL DISPENSER 22 0 ❑ <br /> L - 3 2 0 8 DIESEL DISPENSER 23 0 ❑ <br /> L - 4 2 0 8 DIESEL DISPENSER 24 0 ❑ <br /> L - 5 2 0 8 DIESEL DISPENSER 25 0 ❑ <br /> L - 6 2 0 8 DIESEL DISPENSER 26 0 ❑ <br /> L - 7 2 0 8 DIESEL DISPENSER 27 0 ❑ <br /> L - 8 2 0 8 DIESEL DISPENSER 27 SATELITE 0 ❑ <br /> L - 9 2 0 8 91 OCTANE FILL SUMP 0 ❑ <br /> L - 10 2 0 8 87 OCTANE FILL SUMP T - 2 0 ❑ <br /> L - 11 208 87 T L M SUMP T - 2 0 0 <br /> L - 12 4 2 0 87 / 91 SPLIT TANK ANNULAR SPACE 0 ❑ <br /> L - 13 2 0 8 87 SYPHON PIPING SUMP 0 ❑ <br /> L - 14 2 0 8 DEF SUMP 0 ❑ <br /> L - 15 4 2 0 D E F ANNULAR SPACE 0 ❑ <br /> L - 16 N / A NOTHING ON THIS SPOT ❑ ❑ <br /> L - 17 4 2 0 DIESEL ANNULAR SPACE T - 2 0 ❑ <br /> L - 18 2 0 8 DIESEL FILL SUMP - T - 2 0 ❑ <br /> L - 19 208 87 OCTANE STPSUMP T - 1 0 ❑ <br /> L - 20 2 0 8 87 OCT TLM SUMP T - 1 0 ❑ <br /> L - 21 4 2 0 87 OCTANE ANNULAR SPACE T - 1 0 ❑ <br /> L - 22 2 0 8 87 OCTANE FILL SUMP T - 1 0 ❑ <br /> L - 23 2 0 8 91 OCTANE S T P SUMP 0 ❑ <br /> L - 24 2 0 8 91 T L M SUMP 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 />