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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 /> L2 794390-420 Unleaded Annular ❑✓ ❑ <br /> L3 794380-208 Gas Dispenser ❑✓ ❑ <br /> L4 794380-208 Gas Dispenser ❑✓ ❑ <br /> L5 794380-208 Diesel Sump ❑✓ ❑ <br /> L6 794390-420 Diesel Annular ❑✓ ❑ <br /> L7 794380-208 Diesel Dispenser ❑✓ ❑ <br /> L8 794380-208 Unleaded Sump ❑✓ ❑ <br /> L9 794390-420 Waste-Oil Annular ❑✓ ❑ <br /> L10 794380-208 Waste-Oil Sump ❑✓ ❑ <br /> L11 794390-420 W.O. Tank Overfill ❑✓ ❑ <br /> L12 794390-420 Hydraulic Tank Gauge ❑✓ ❑ <br /> L13 794390-420 Hydraulic TK Annular ❑✓ ❑ <br /> L14 794390-420 Motor Oil Ann ❑✓ ❑ <br /> L15 794380-208 Trans Sump ❑✓ ❑ <br /> L16 794380-208 Waste-Oil Drain 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 />