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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 - 1 304 / 2 0 8 DISPENSER 1 / 2 0 ❑ <br /> L - 2 304 / 2 0 8 DISPENSER 3 / 4 0 ❑ <br /> L - 3 304 / 2 0 8 DISPENSER 5 / 6 0 ❑ <br /> L - 4 304 / 2 0 8 DISPENSER 7 / 8 D ❑ <br /> L - 5 304 / 2 0 8 DISPENSER 9 / 10 0 ❑ <br /> L - 6 304 / 2 0 8 DISPENSER 11 / 12 0 ❑ <br /> L - 7 3 0 3 87 OCTANE ANNULAR SPACE 0 ❑ <br /> L - 8 3 0 3 91 OCTANE / DIESEL ANNULAR SPACE 0 ❑ <br /> L - 9 304 / 208 87 OCTANE STP SUMP 0 ❑ <br /> L - 10 304 / 2 0 8 87 OCTANE FILL SUMP 0 ❑ <br /> L - 11 304 / 208 91 OCTANE STP SUMP 0 0 <br /> L - 12 304 / 2 0 8 91 OCTANE FILL SUMP 0 ❑ <br /> L - 13 304 / 208 DIESEL STP SUMP 0 ❑ <br /> L - 14 304 / 2 0 8 DIESEL FILL SUMP 0 ❑ <br /> L - 15 304 / 2 0 8 VENT BOX SUMP 0 ❑ <br /> SMART SENSORS ❑ ❑ <br /> S - 9 0 0 1 87 OCTANE PRODUCT LINE 0 ❑ <br /> S - 10 0 0 1 87 OCTANE VENT LINE 0 ❑ <br /> S - 11 0 0 1 ALL SITE VAPOR RETURN LINE ❑ 0 <br /> S - 12 0 0 1 91 OCTANE PRODUCT LINE 0 ❑ <br /> S - 13 0 0 1 91 OCTANE VENT LINE 0 ❑ <br /> S - 14 0 0 1 DIESEL PRODUCT LINE 0 ❑ <br /> S - 15 0 0 1 DIESEL VENT LINE 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 />