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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 3 0 3 TANK 1 - DIESEL ANNULAR SPACE 0 ❑ <br /> L - 2 2 0 8 TANK 1 - DIESEL S T P SUMP 0 ❑ <br /> L - 3 3 0 4 TANK 1 - DIESEL S T P SUMP BRINE 0 ❑ <br /> L - 4 2 0 8 TANK 1 - DIESEL FILL SUMP 0 ❑ <br /> L - 5 3 0 4 TANK 1 - DIESEL FILL SUMP BRINE 0 ❑ <br /> L - 6 3 0 3 TANK 2 - BIO DIESEL ANNULAR SPACE 0 ❑ <br /> L - 7 2 0 8 TANK 2 - BIO DIESEL S T P SUMP 0 ❑ <br /> L - 8 3 0 4 TANK 2 - BIO DIESEL S T P SUMP BRINE 0 ❑ <br /> L - 9 2 0 8 TANK 2 - BIO DIESEL FILL SUMP 0 ❑ <br /> L - 10 3 0 4 TANK 2 - BIO DIESEL FILL SUMP BRINE 0 ❑ <br /> L - 11 3 0 3 TANK 3 - 87 OCT NEW ANNULAR SPACE 0 0 <br /> L - 12 2 0 8 TANK 3 - 87 OCT NEW STP SUMP 0 ❑ <br /> L - 13 3 0 4 TANK 3 - 87 OCT NEW S T P SUMP BRINE 0 ❑ <br /> L - 14 3 0 4 TANK 3 - 87 OCT NEW FILL SUMP BRINE 0 ❑ <br /> L - 15 2 0 8 TANK 3 - 87 OCT NEW FILL SUMP 0 ❑ <br /> L - 16 2 0 8 VENT SUMP 0 ❑ <br /> L - 17 3 0 4 VENT SUMP BRINE 0 ❑ <br /> L - 18 2 0 8 DISPENSER 1 / 2 0 ❑ <br /> L - 19 2 0 8 DISPENSER 3 / 4 0 ❑ <br /> L - 20 2 0 8 DISPENSER 5 / 6 0 ❑ <br /> L - 21 2 0 8 DISPENSER 7 / 8 0 ❑ <br /> L - 22 2 0 8 DISPENSER 9 / 10 0 ❑ <br /> L - 23 2 0 8 DISPENSER 11 / 12 0 ❑ <br /> L - 24 2 0 8 DISPENSER 13 / 14 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 />