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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 DIESEL STP SUMP ❑✓ ❑ <br /> L 2 420 DIESEL ANNULAR SPACE F21 ❑ <br /> L 3 208 DISP 9-10 0 ❑ <br /> L 4 208 DISP 11-12 ❑✓ ❑ <br /> L 5 208 DISP 13-14 IZI ❑ <br /> L 6 208 DISP 15-16 ❑✓ ❑ <br /> L 9 208 87 STP SUMP 0 ❑ <br /> L 10 208 91 STP SUMP ❑✓ ❑ <br /> L 11 208 DIPS 1-2 El ❑ <br /> L 12 208 DISP 3-4 ❑✓ ❑ <br /> L 13 208 DISP 5-6 0 ❑ <br /> L 14 208 DISP 7-8 0 ❑ <br /> L 15 208 89 STP SUMP 0 ❑ <br /> L 16 420 GAS TANKS ANNULAR SPACE ✓❑ ❑ <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 />