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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 /> L - 1 2 0 8 DISPENSER 9 / 10 0 ❑ <br /> L - 2 2 0 8 DISPENSER SATELITE 10 / 11 0 ❑ <br /> L - 3 2 0 8 DISPENSER 11 / 12 D ❑ <br /> L - 4 2 0 8 DISPENSER 13 / 14 D ❑ <br /> L - 5 2 0 8 KEROSENE S T P SUMP 0 ❑ <br /> L - 6 2 0 8 KEROSENE / 110 DISPENSER 0 ❑ <br /> L - 7 208 110 OCTANE STP SUMP 0 ❑ <br /> L - 8 N / A UNUSED 0 ❑ <br /> L - 9 4 2 0 CLEAR DIESEL ANNULAR SPACE 0 ❑ <br /> L - 10 4 2 0 DYED DIESEL ANNULAR SPACE T - 1 0 ❑ <br /> L - 11 4 2 0 DYED DIESEL ANNULAR SPACE T - 2 0 0 <br /> L - 12 2 0 8 CLEAR DIESEL S T P SUMP 0 ❑ <br /> L - 13 2 0 8 DYED DIESEL S T P SUMP T - 1 0 ❑ <br /> L - 14 2 0 8 DYED DIESEL S T P SUMP T - 2 0 ❑ <br /> L - 15 2 0 8 DISPENSER 7 / 8 0 ❑ <br /> L - 16 2 0 8 DISPENSER SATELITE 9 0 ❑ <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 />