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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 />L1 <br />208 <br />87 FILL <br />0 <br />❑ <br />L2 <br />208 <br />91 FILL <br />❑✓ <br />❑ <br />L3 <br />208 <br />87 STP <br />0 <br />❑ <br />L4 <br />208 <br />91 STP <br />0 <br />❑ <br />L5 <br />302 <br />87 ANNULAR <br />0 <br />❑ <br />L6 <br />302 <br />91 AN N U LAR <br />0 <br />❑ <br />L7 <br />208 <br />DISP 1-2 <br />0 <br />❑ <br />L8 <br />208 <br />DISP 3-4 <br />0 <br />❑ <br />L9 <br />208 <br />DISP 5-6 <br />0 <br />❑ <br />L10 <br />208 <br />DISP 7-8 <br />0 <br />❑ <br />L11 <br />304 <br />DISP 1-2 BRINE <br />0 <br />❑ <br />L12 <br />304 <br />DISP 3-4 BRINE <br />0 <br />❑ <br />L13 <br />304 <br />DISP 5-6 BRINE <br />0 <br />❑ <br />L14 <br />304 <br />DISP7-8 BRINE <br />0 <br />❑ <br />L15 <br />304 <br />87 STP ANN <br />0 <br />❑ <br />L16 <br />304 <br />91 STP ANN <br />0 <br />❑ <br />L17 <br />208 <br />VENT BOX <br />0 <br />❑ <br />L18 <br />304 <br />VENT ANN <br />0 <br />❑ <br />L19 <br />304 <br />87 FILL ANN <br />0 <br />❑ <br />L20 <br />304 <br />91 FILL ANN <br />Q. <br />❑ <br />S1 <br />SMART <br />87 LINE <br />0 <br />❑ <br />S3 <br />SMART <br />91 LINE <br />0 <br />❑ <br />S4 <br />SMART <br />VENT <br />0 <br />❑ <br />S5 <br />SMART <br />VAPOR <br />0 <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 />