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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-1 409 91 ANNULAR 0 ❑ <br /> L-2 409 87 MASTER ANNULAR 0 ❑ <br /> L-3 409 SLAVE ANNULAR 0 ❑ <br /> L-4 409 DIESEL ANNULAR 0 ❑ <br /> L-5 208 91 STP 0 ❑ <br /> L-6 208 87 MASTER STP 0 ❑ <br /> L-7 208 87 SLAVE STP 0 ❑ <br /> L-8 208 DIESEL STP 0 ❑ <br /> L-9 208 91 FILL 0 ❑ <br /> L-10 208 87 MASTER FILL 0 ❑ <br /> L-11 208 87 SLAVE FILL 0 0 <br /> L-12 208 DIESEL FILL 0 ❑ <br /> L-13 208 DISP 1-2 0 ❑ <br /> L-14 208 DISP 3-4 0 ❑ <br /> L-15 208 DISP 5-6 0 ❑ <br /> L-16 208 DISP 7-8 0 ❑ <br /> L-17 208 DISP 9-10 0 ❑ <br /> L-18 208 DISP 11-12 0 ❑ <br /> L-19 208 SECONDARY VAPOR 0 ❑ <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 />