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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 /> L 1 208 91 TANK 1 STP SUMP ✓❑ ❑ <br /> L 2 208 91 TANK 2 STP SUMP ❑✓ ❑ <br /> L 3 208 87 TANK STP SUMP ✓❑ ❑ <br /> L 4 208 DIESEL TANK STP SUMP ❑✓ ❑ <br /> L 5 420 91 TANK /1 91 TANK 2 ./DIESEL ANNULAR SPACE ❑✓ ❑ <br /> L 6 420 87 ANNULAR SPACE ❑✓ ❑ <br /> ❑ ❑ <br /> CHAINS AND FLOATS DISPENSER 1-2 ✓❑ ❑ <br /> CHAINS AND FLOATS DISPENSER 3-4 ❑✓ ❑ <br /> CHAINS AND FLOATS DISPENSER 5-6 ❑✓ ❑ <br /> CHAINS AND FLOATS DISPENSER 7-8 ❑✓ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />