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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 />Fail <br />L1 <br />303 <br />87 Annular <br />L2 <br />208 <br />87 Fill <br />In <br />13 <br />L3 <br />304 <br />87 Annular Fill <br />ri <br />El <br />L4 <br />208 <br />87 STP Sump <br />El <br />L5 <br />304 <br />87 STP Annular <br />L6 <br />303 <br />91 + Diesel Annular <br />L7 <br />208 <br />91 Fill <br />L8 <br />304 <br />91 Fill Annular <br />L9 <br />208 <br />91 STP Sump <br />L10 <br />304 <br />91 STP Annular <br />L11 <br />208 <br />Diesel Fill <br />El <br />El <br />L12 <br />304 <br />Diesel Fill Annular <br />El <br />El <br />L13 <br />208 <br />Diesel STP Sump <br />® <br />E3 <br />L14 <br />304 <br />Diesel STP Annular <br />Ei <br />L15 <br />208 <br />#112 UDC <br />El <br />L16 <br />304 <br />#112 UDC Annular <br />L17 <br />208 <br />#314 UDC <br />L18 <br />304 <br />#314 UDC Annular <br />L19 <br />208 <br />#516 UDC <br />L20 <br />304 <br />#516 UDC Annular <br />El <br />L21 <br />208 <br />#718 UDC <br />® <br />E] <br />L22 <br />304 <br />#718 UDC Annular <br />0 <br />L23 <br />208 <br />Vent Sump <br />El <br />L24 <br />304 <br />Vent Sump Annular <br />® <br />M <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 />