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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 Sensor Model Component(s) Monitored Pass Fail <br /> L1 794390-420/441672 UST Annular ✓❑ ❑ <br /> L2 794380-208/675586 Fill sump ✓❑ ❑ <br /> L3 794380-208/1382002 Piping sump ✓❑ ❑ <br /> L4 794380-208/Illegible Generator room ✓❑ ❑ <br /> L5 794380-208/730237 Fire box ✓❑ ❑ <br /> C1 794380-344/844409 Belly tank annular ✓❑ ❑ <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 />