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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 ID <br />Sensor Model Component(s) Monitored <br />Pass <br />L1 <br />208 <br />87 STP sump <br />L2 <br />208 <br />87 fill sump <br />L3 <br />208 <br />91 STP <br />L4 <br />208 <br />91 fill <br />L5 <br />208 <br />DSL STP <br />L6 <br />208 <br />DSL fill <br />L7 <br />303 <br />87 annular <br />L8 <br />303 <br />91 / DSL annular <br />L9 <br />208 <br />1/2 <br />1-10 <br />208 <br />3/4 <br />L11 <br />208 <br />5/6 <br />L12 <br />208 <br />7/8 <br />L13 <br />208 <br />9/10 <br />L14 <br />208 <br />11/12 <br />L15 <br />208 <br />13/14 <br />L16 <br />208 <br />15/16 <br />L17 <br />208 <br />vent box <br />S1 <br />420 <br />1/2 <br />S2 <br />420 <br />3/4 <br />S3 <br />420 <br />5/6 <br />S4 <br />420 <br />7/8 <br />S5 <br />420 <br />9/10 <br />S6 <br />420 <br />11/12 <br />S7 <br />420 <br />13/14 <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 />L <br />Rn - <br />Page 3 of 6 <br />