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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 ID <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />794380-208 <br />87 STP <br />® <br />❑ <br />L2 <br />794380-208 <br />91 STP <br />® <br />❑ <br />L3 <br />794380-208 <br />DSL STP <br />® <br />❑ <br />L4 <br />794380-208 <br />87 FILL <br />® <br />❑ <br />L5 <br />794380-208 <br />91 FILL <br />M <br />❑ <br />L6 <br />794380-208 <br />DSL FILL <br />® <br />❑ <br />L7 <br />794380-208 <br />VENT BOX <br />® <br />❑ <br />L8 <br />794380-208 <br />112 <br />0 <br />1:1 <br />L9 <br />794380-208 <br />314 <br />0 <br />1:3 <br />L10 <br />794380-208 <br />516 <br />0 <br />11 <br />L11 <br />794380-208 <br />718 <br />0 <br />0 <br />L12 <br />794380-208 <br />9110 <br />® <br />❑ <br />L13 <br />794380-208 <br />11112 <br />0 <br />1:1 <br />L14 <br />794380-208 <br />13114 <br />9 <br />❑ <br />L15 <br />794380-208 <br />15/16 <br />9 <br />❑ <br />L16 <br />794380-208 <br />17118 <br />0 <br />❑ <br />L17 <br />794390-420 <br />87 ANN <br />® <br />❑ <br />L18 <br />794390-420 <br />91/DSL ANN <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 />