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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 programming. <br />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 />L1 <br />794380-323 <br />87 Syphon Sump <br />x <br />❑ <br />L2 <br />794380-323 <br />91 STP Sump <br />x <br />❑ <br />L3 <br />794390-409 <br />91 187 Syphon Annular Split Tank <br />x <br />❑ <br />L4 <br />794390-409 <br />87 Annular Tank <br />x <br />❑ <br />L5 <br />794380-323 <br />87 STP Sump <br />x <br />❑ <br />L6 <br />794380-208 <br />87 Fill Sump 1 <br />x <br />❑ <br />L7 <br />794380-323 <br />91 Fill Sump <br />x <br />❑ <br />L8 <br />794380-208 <br />87 Fill Sump 2 <br />x <br />❑ <br />L9 <br />794380-323 <br />Dispenser 1&2 <br />x <br />❑ <br />L10 <br />794380-323 <br />Dispenser 3&4 <br />x <br />❑ <br />L11 <br />794380-323 <br />Dispenser 5&6 <br />x <br />❑ <br />L12 <br />794380-323 <br />Dispenser 7&8 <br />x <br />❑ <br />L13 <br />794380-323 <br />Dispenser 9&10 <br />x <br />❑ <br />L14 <br />794380-323 <br />Dispenser 11&12 <br />x <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 />