Laserfiche WebLink
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 programming. <br /> Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L14 794380-304 DISPENSER 11&12 BRINE x ❑ <br /> L14 794380-208 DISPENSER 11&12 x ❑ <br /> L15 794380-304 DISPENSER 13&14 BRINE x ❑ <br /> L15 794380-208 DISPENSER 13&14 x ❑ <br /> L16 794380-304 DISPENSER 15&16 BRINE x ❑ <br /> L16 794380-208 DISPENSER 15&16 SUMP x ❑ <br /> L17 794380-304 VENT BOX BRINE x ❑ <br /> L17 794380-208 VENT BOX SUMP x ❑ <br /> S17 332175-001 87 VAC PRODUCT X ❑ <br /> S18 332175-001 87 VAC VAPOR X ❑ <br /> S19 332175-001 87 VAC VENT X ❑ <br /> S20 332175-001 91 VAC PRODUCT X ❑ <br /> S21 332175-001 91 VAC VENT X ❑ <br /> S22 332175-001 DIESEL VAC PRODUCT X ❑ <br /> S23 332175-001 DIESEL VAC VENT x ❑ <br /> El <br /> El <br /> El <br /> El <br /> El <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 />