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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 /> L1 208 304 1-2 0 ❑ <br /> L2 208 304 3-4 0 ❑ <br /> L3 208 304 5-6 0 ❑ <br /> L4 208 304 7-8 0 ❑ <br /> L5 208 304 9-10 0 ❑ <br /> L6 208 304 11-12 0 ❑ <br /> L7 208 304 13-14 0 ❑ <br /> L8 208 304 15-16 0 ❑ <br /> L9 208 304 87 STP 0 ❑ <br /> L10 208 304 87 FILL 0 ❑ <br /> L11 208 304 91 STP 0 0 <br /> L12 208 304 91 FILL 0 ❑ <br /> L13 208 304 DSL STP 0 ❑ <br /> L14 208 304 DSL FILL 0 ❑ <br /> L 15 303 87 AN N 0 ❑ <br /> L16 303 SPLIT ANN 0 ❑ <br /> L17 208 304 VENT BOX 0 ❑ <br /> S17 VAC 87 PROD 0 ❑ <br /> S18 VAC 87 VAPOR 0 ❑ <br /> S19 VAC 87 VENT 0 ❑ <br /> S20 VAC 91 PROD 0 ❑ <br /> S21 VAC 91 VENT 0 ❑ <br /> S22 VAC DSL PROD 0 ❑ <br /> S23 VAC DSL VENT 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 />