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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 />L25 <br />794380-208 <br />DIESEL STP SUMP <br />x <br />❑ <br />L26 <br />794380-304 <br />DIESEL STP SUMP DW <br />x <br />❑ <br />L27 <br />794380-208 <br />DIESEL FILL SUMP <br />x <br />❑ <br />L28 <br />794380-304 <br />DIESEL FILL SUMP DW <br />x <br />❑ <br />L29 <br />794380-303 <br />87 ANNULAR TANK <br />X <br />❑ <br />L30 <br />794380-303 <br />91/DIESEL ANNULAR SPLIT TANK <br />X <br />❑ <br />L31 <br />794380-208 <br />UDC VENT BOX <br />X <br />❑ <br />L32 <br />794380-304 <br />UDC VENT BOX DW <br />X <br />❑ <br />S1 <br />332175-001 <br />87 PRODUCT LINE <br />X <br />❑ <br />S2 <br />332175-001 <br />91 PRODUCT LINE <br />X <br />❑ <br />S3 <br />332175-001 <br />VENT LINE <br />X <br />❑ <br />S4 <br />332175-001 <br />VAPOR RECOVERY LINE <br />X <br />❑ <br />S5 <br />332175-001 <br />DIESEL PRODUCT LINE <br />X <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <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 />