Laserfiche WebLink
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 DISPENSER 1-2 0 ❑ <br /> L 2 304 DISPENSER 1-2 BRINE 0 ❑ <br /> L 3 208 DISPENSER 3-4 0 ❑ <br /> L 4 304 DISPENSER 3-4 BRINE 0 ❑ <br /> L 5 208 DISPENSER 5-6 0 ❑ <br /> L 6 304 DISPENSER 5-6 BRINE 0 ❑ <br /> L 7 208 DISPENSER 7-8 0 ❑ <br /> L 8 304 DISPENSER 7-8 BRINE 0 ❑ <br /> L 9 208 DISPENSER 9-10 0 ❑ <br /> L 10 304 DISPENSER 9-10 BRINE 0 ❑ <br /> L 11 208 DISPENSER 11-12 0 0 <br /> L 12 304 DISPENSER 11-12 BRINE 0 ❑ <br /> L 13 208 VENT BOX 0 ❑ <br /> L 14 304 VENT BOX BRINE 0 ❑ <br /> L 15 208 87 STP SUMP 0 ❑ <br /> L 16 304 87 STP SUMP BRINE 0 ❑ <br /> L 17 208 87 FILL SUMP 0 ❑ <br /> L 18 304 87 FILL SUMP BRINE 0 ❑ <br /> L 19 208 91 STP SUMP 0 ❑ <br /> L 20 304 91 STP SUMP BRINE 0 ❑ <br /> L 21 208 91 FILL SUMP 0 ❑ <br /> L 22 304 91 FILL SUMP BRINE 0 ❑ <br /> L 23 208 DIESEL STP SUMP 0 ❑ <br /> L 24 304 DIESEL STP SUMP BRINE 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 3 of 6 <br />