Laserfiche WebLink
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 Component(s) Monitored <br />Pass <br />Fail <br />L25 <br />794380-208 <br />DISP 9-10 <br />117 <br />L26 <br />794380-304 <br />DISP 9-10 BRINE <br />L27 <br />794380-208 <br />DISP 11-12 <br />M <br />r] <br />L28 <br />794380-304 <br />DISP11-12 BRINE <br />® <br />0 <br />0 <br />� <br />S1 <br />330020-463 <br />87 PRODUCT LIQUID <br />M <br />rl <br />S4 <br />330020-463 <br />91 PRODUCT LIQUID <br />M <br />rl <br />S6 <br />330020-463 <br />DIESEL PRODUCT LIQUID <br />M <br />0 <br />0 <br />0 <br />0 <br />r <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />in <br />0 <br />r <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />r] <br />0 <br />r <br />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 3of6 <br />