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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 1 / 2 0 ❑ <br /> L - 2 3 2 3 DISPENSER 3 / 4 ❑ <br /> L - 3 3 2 3 DISPENSER 5 / 6 0 ❑ <br /> L - 4 3 2 3 DISPENSER 7 / 8 ❑ <br /> L - 5 3 2 3 REG UNLEADED MASTER S T P SUMP ❑ <br /> L - 6 3 2 3 REG UNLEADED MASTER FILL SUMP 0 ❑ <br /> L - 7 4 2 0 REG UNLEADED MASTER ANNULAR SPACE 0 ❑ <br /> L - 8 3 2 3 REG UNLEADED SLAVE S T P SUMP 0 ❑ <br /> L - 9 2 0 8 REG UNLEADED SLAVE T L M SUMP 0 ❑ <br /> L - 10 2 0 8 REG UNLEADED SLAVE FILL SUMP 0 ❑ <br /> L - 11 4 2 0 REG UNLEADED SLAVE ANNULAR SPACE 0 ❑ <br /> L - 12 3 2 3 PREMIUM UNLEADED S T P SUMP 0 ❑ <br /> L - 13 3 2 3 PREMIUM UNLEADED FILL SUMP 0 ❑ <br /> L - 14 4 2 0 PREMIUM UNLEADED ANNULAR SPACE 0 ❑ <br /> L - 15 3 2 3 PRODUCT LINE TRANSITION SUMP 0 ❑ <br /> L - 16 3 2 3 VAPOR RETURN / POT SUMP 0 ❑ <br /> L - 17 4 2 0 VAPOR POT HIGH LIQUID 0 ❑ <br /> L - 18 4 2 0 VAPOR POT ANNULAR SPACE 0 ❑ <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 />