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Underground Storage Tank <br />Monitoring System Certification Form <br />16. 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 Component(s) Monitored <br />Pass <br />Fail <br />L-1 <br />794390-420 <br />ANNULAR 87-91 <br />✓❑ <br />❑ <br />L-2 <br />794380-208 <br />STP SUMP 91 <br />✓❑ <br />❑ <br />L-3 <br />794380-208 <br />FILL SUMP 91 <br />❑✓ <br />❑ <br />L-4 <br />794380-208 <br />FILL SUMP 87 <br />✓❑ <br />❑ <br />L-5 <br />794380-208 <br />DISPENSER 1 & 2 <br />✓❑ <br />❑ <br />L-6 <br />794380-208 <br />STP SUMP 87 <br />❑✓ <br />❑ <br />L-7 <br />794380-208 <br />DISPENSER 3 & 4 <br />✓❑ <br />❑ <br />L-8 <br />794380-208 <br />DISPENSER 5 & 6 <br />❑✓ <br />El <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />EDE] <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 3of6 <br />