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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 ID Sensor Model Component(s) Monitored Pass Fail <br /> L2 794390-420 Unleaded annular ❑✓ ❑ <br /> L3 794380-208 Unleaded dispenser#34 ❑✓ ❑ <br /> L4 794380-208 Unleaded dispenser#1-2 ❑✓ ❑ <br /> L5 794380-208 Diesel piping sump ❑✓ ❑ <br /> L6 794390-420 Diesel annular ❑✓ ❑ <br /> L7 794380-208 Diesel dispenser#1-2 ❑✓ ❑ <br /> L8 794380-208 Unleaded piping sump ✓❑ ❑ <br /> L9 794390-420 Waste Oil annular ❑✓ ❑ <br /> L10 794380-208 Waste Oil piping sump ❑✓ ❑ <br /> L12 794390-420 Hydraulic tank gauge ❑✓ ❑ <br /> L13 794390-420 Hydraulic tank annular ❑✓ ❑ <br /> L14 794390-420 Motor oil annular ❑✓ ❑ <br /> L15 794380-208 Transition sump ❑✓ ❑ <br /> L16 794380-208 Waste oil drain table pan ❑✓ ❑ <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 />