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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-1 420 91 ANNULAR ❑✓ ❑ <br /> L-2 420 87 ANNULAR F21 ❑ <br /> L-3 420 87-2 ANNULAR 0 ❑ <br /> L-4 208 91 STP ❑✓ ❑ <br /> L-5 208 87 SUMP 11 ❑ <br /> L-6 208 87-2 STP ❑✓ ❑ <br /> L-7 208 VENT SUMP ❑✓ ❑ <br /> L-8 208 91 FILL SUMP ❑✓ ❑ <br /> L-9 208 87 FILL SUMP IZI ❑ <br /> L-10 208 87-2 FILL SUMP ❑✓ ❑ <br /> L-11 208 DISP 1-2 0 ❑ <br /> L-12 208 DISP 3-4 0 ❑ <br /> L-13 208 DISP 5-6 0 ❑ <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 />