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Underground Storage Tank <br />Monitoring System Certification Form <br />16. 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 <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L- 1 <br />2 0 8 <br />DISPENSER 1/ 2 <br />0 <br />❑ <br />L- 2 <br />3 0 4 <br />DISPENSER 1/ 2- BRINE <br />0 <br />❑ <br />L- 3 <br />2 0 8 <br />DISPENSER 3/ 4 <br />0 <br />❑ <br />L- 4 <br />3 0 4 <br />DISPENSER 3/ 4- BRINE <br />0 <br />❑ <br />L- 5 <br />2 0 8 <br />DISPENSER 5/ 6 <br />0 <br />❑ <br />L- 6 <br />3 0 4 <br />DISPENSER 5/ 6- BRINE <br />0 <br />❑ <br />L- 7 <br />2 0 8 <br />DISPENSER 7/ 8 <br />0 <br />❑ <br />L- 8 <br />3 0 4 <br />DISPENSER 7/ 8- BRINE <br />0 <br />0 <br />L- 9 <br />2 0 8 <br />REGULAR UNLEADED S T P SUMP <br />0 <br />❑ <br />L- 10 <br />3 0 4 <br />REGULAR UNLEADED S T P SUMP - BRINE <br />RI <br />❑ <br />L- 11 <br />3 0 3 <br />REGULAR UNLEADED ANNULAR SPACE <br />0 <br />0 <br />L - 12 <br />3 0 4 <br />REGULAR UNLEADED FILL SUMP - BRINE <br />0 <br />❑ <br />L- 13 <br />2 0 8 <br />REGULAR UNLEADED FILL SUMP <br />0 <br />❑ <br />L- 14 <br />3 0 4 <br />PREMIUM UNLEADED STP SUMP - BRINE <br />0 <br />❑ <br />L- 15 <br />2 0 8 <br />PREMIUM UNLEADED FILL SUMP <br />0 <br />❑ <br />L- 16 <br />2 0 8 <br />PREMIUM UNLEADED STP SUMP <br />0 <br />❑ <br />L- 17 <br />2 0 8 <br />PREMIUM UNLEADED FILL SUMP - BRINE <br />0 <br />❑ <br />L- 18 <br />3 0 3 <br />PREMIUM UNLEADED/ DIESEL ANNULAR SPACE <br />❑✓ <br />❑ <br />L- 19 <br />2 0 8 <br />DIESEL STP SUMP <br />0 <br />❑ <br />L- 20 <br />3 0 4 <br />DIESEL S T P SUMP - BRINE <br />0 <br />❑ <br />L- 21 <br />2 0 8 <br />DIESEL FILL SUMP <br />0 <br />❑ <br />L - 22 <br />3 0 4 <br />DIESEL FILL SUMP - BRINE <br />0 <br />❑ <br />L- 23 <br />2 0 8 <br />VENT TRANSITION SUMP <br />RI <br />❑ <br />L-24 <br />3 0 4 <br />VENT TRANSITION SUMP - BRINE <br />0 <br />LEI <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 />