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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 Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />794380-208 <br />Disp Pan 1-2 <br />❑✓ <br />❑ <br />L2 <br />794380-208 <br />Disp Pan 3-4 <br />❑✓ <br />❑ <br />L3 <br />794380-208 <br />Disp Pan 5-6✓❑ <br />❑ <br />L4 <br />794380-208 <br />Disp Pan 7-8 <br />❑✓ <br />❑ <br />L5 <br />794380-208 <br />Disp Pan 9-10 <br />❑✓ <br />❑ <br />L6 <br />794380-208 <br />Disp Pan 11-12 <br />❑✓ <br />❑ <br />L7 <br />794380-302 <br />RUL Annular <br />❑✓ <br />❑ <br />L8 <br />794380-302 <br />PUL Annular <br />❑✓ <br />❑ <br />L9 <br />794380-302 <br />DSL Annular <br />❑✓ <br />❑ <br />L10 <br />794380-208 <br />RUL STP Sump <br />❑✓ <br />❑ <br />1-11 <br />794380-208 <br />PUL STP Sump <br />❑✓ <br />❑ <br />L12 <br />794380-208 <br />DSL STP Sump <br />❑✓ <br />❑ <br />L13 <br />794380-208 <br />RUL Fill Sump✓❑ <br />❑ <br />L14 <br />794380-208 <br />PUL Fill Sump <br />❑✓ <br />❑ <br />L15 <br />794380-208 <br />DSL FIII Sump <br />❑✓ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <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 />