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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 I D" as labeled in system <br />programming <br />VPH site: I ® Yes I ❑ No <br />Tank ID: 87 <br />Sensor ID <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />303 <br />annular <br />® <br />❑ <br />L3 <br />208 <br />STP <br />® <br />❑ <br />L4 <br />304 <br />STP brine <br />® <br />❑ <br />L5 <br />208 <br />fill <br />® <br />❑ <br />L6 <br />304 <br />fill brine <br />® <br />❑ <br />S9 <br />vac box <br />vac <br />® <br />❑ <br />S10 <br />vac box <br />vapor vac <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Tank ID: 91 <br />Sensor ID <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L2 <br />303 <br />91 / DSL annular <br />® <br />❑ <br />L7 <br />208 <br />STP <br />® <br />❑ <br />L8 <br />304 <br />STP brine <br />® <br />❑ <br />L9 <br />208 <br />fill <br />® <br />❑ <br />L10 <br />304 <br />fill brine <br />® <br />❑ <br />S11 <br />vac box <br />vac <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 9 <br />