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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 /> 1 ULS 87/DIESEL FILL 0 ❑ <br /> 2 ULS 87 STP 0 ❑ <br /> 3 ULS DSL DISP 1-2 0 ❑ <br /> 4 ULS GAS DISP 5-6 0 ❑ <br /> 5 ULS DSL DISP 3-4 0 ❑ <br /> 6 ULS DIESEL STP 0 ❑ <br /> 7 EIS 87 ANNULAR 0 ❑ <br /> 8 EIS DIESEL ANNULAR 0 ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ 0 <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />