Laserfiche WebLink
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-1 323 DISP 11-12 0 ❑ <br /> L-2 304 DISP 3-4 BRINE 0 ❑ <br /> L-3 304 DISP 13-14 BRINE 0 ❑ <br /> L-4 323 DISP 1-2 0 ❑ <br /> L-5 323 DISP 3-4 0 ❑ <br /> L-6 304 DISP 5-6 BRINE 0 ❑ <br /> L-7 323 DISP 13-14 0 ❑ <br /> L-8 304 DISP 11-12 BRINE 0 ❑ <br /> L-9 323 DISP 7-8 0 ❑ <br /> L-10 304 DISP 9-10 BRINE 0 ❑ <br /> L-11 304 DISP 15-16 BRINE 0 0 <br /> L-12 323 DISP 15-16 0 ❑ <br /> L-13 304 DISP 7-8 BRINE 0 ❑ <br /> L-14 323 DISP 5-6 0 ❑ <br /> L-15 304 DISP 1-2 BRINE 0 ❑ <br /> L-16 323 DISP 9-10 0 ❑ <br /> L-17 303 DIESEL ANNULAR 0 ❑ <br /> L-18 303 87 ANNULAR 0 ❑ <br /> L-19 304 87 STP BRINE 0 ❑ <br /> L-20 304 91 STP BRINE 0 ❑ <br /> L-21 323 87 FILL 0 ❑ <br /> L-22 323 91 STP 0 ❑ <br /> L-23 304 87 FILL BRINE 0 ❑ <br /> L-24 323 DIESEL FILL 0 ❑ <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 />