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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 <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L-1 <br />N/A <br />❑ <br />❑ <br />L- 2 <br />3 2 2 <br />DISPENSER 3/ 4 <br />R <br />❑ <br />L- 3 <br />3 2 2 <br />DISPENSER 5/ 6 <br />0 <br />❑ <br />L- 4 <br />2 0 8 <br />DISPENSER 7/ 8 <br />21 <br />❑ <br />L- 5 <br />2 0 8 <br />DISPENSER 9/ 10 <br />2 <br />❑ <br />L- 6 <br />3 2 3 <br />DISPENSER 11 /12 <br />0 <br />❑ <br />L- 7 <br />3 2 3 <br />DISPENSER 1/ 2 <br />0 <br />❑ <br />L-8 <br />N / A <br />❑ <br />❑ <br />L- 9 <br />3 5 2 <br />91 OCTANE S T P SUMP <br />0 <br />❑ <br />L - 10 <br />4 0 9 <br />91 OCTANE / DIESEL ANNULAR SPACE <br />0 <br />❑ <br />L - 11 <br />2 0 8 <br />91 OCTANE FILL SUMP <br />0 <br />❑ <br />L- 12 <br />3 5 2 <br />87 OCTANE S T P SUMP <br />0 <br />❑ <br />L-13 <br />N / A <br />❑ <br />❑ <br />L- 14 <br />4 0 9 <br />87 OCTANE ANNULAR SPACE <br />0 <br />❑ <br />L- 15 <br />3 5 2 <br />DIESEL STP SUMP <br />0 <br />❑ <br />L- 16 <br />2 0 8 <br />DIESEL FILL SUMP <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <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 />