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Underground Storage Tank <br /> Monitoring System Certification Form <br /> S. SENSOR TESTING RESULTS <br /> List only sensors tested on date of this certilicafr`on- List "Sensor 1D" as labeled in system <br /> programming. Additional copies of this page may ba attached to accommodate all sensors tested. <br /> Sensor 10 Sensor Model omponant(s) Monitored Pass Fail <br /> L1 2081304 87 STP 1 brine © � <br /> L2 2081304 87 fill l brine � f] <br /> L3 2081304 91 STP 1 brine <br /> L.4 2081304 91 fill I brine E ri <br /> 1-5 2081304 DSL STP I brine E7 0 <br /> LG <br /> 208 / 304 DSL fill I brine <br /> L7 3231304 E85 STP I brine ® 0 <br /> L.8 32313044 1 1s8S fill f brine � <br /> L9 303 E85187 annular <br /> L10 303 911 DSL annular <br /> 1-41 3231304 vent box 1 brine <br /> L12 208 /304 '1121 brine <br /> L1 2081304 15116 f brine <br /> L14 - -- 2081304 9190/ brine <br /> L'15 2081304 7181 brine <br /> L16 2081304 5}6 l brine � � <br /> L17 20$ 1304 11112 1brine <br /> L18 208 1304 '131141 brine M ri <br /> 1-19 2081304 3/4 /brine <br /> 1 4631 +464 87 product <br /> S2 4631464 87 vent <br /> S3 4631464 87 vapor line Ej r] <br /> 4 4631464 91 product <br /> S5 4631464 91 vent (� <br /> Vescribe all answers marked "No'"or "Fail" and proposed remedy in .Section 9, -- <br /> LW all mon doring equipment either replaced or repaired in Section 9 <br /> Page 3 of 6 <br />