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Underground Storage Tank <br />Monitoring System Certification Form <br />16. 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 <br />Sensor Model Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />0794380-303 <br />UNL annular <br />171 <br />r] <br />L2 <br />0794380-303 <br />Prem-Dsl annular <br />0✓ <br />0 <br />L3 <br />0794380-208 <br />vent sump <br />�✓ <br />L4 <br />0794380-304 <br />vent brine <br />L5 <br />0794380-208 <br />UNL turbine <br />0✓ <br />ri <br />L6 <br />0794380-208 <br />UNL fill <br />0 <br />ri <br />L7 <br />0794380-208 <br />DSL turbine <br />®✓ <br />0 <br />L8 <br />0794380-208 <br />DSL fill <br />0 <br />L9 <br />0794380-208 <br />Prem turbine <br />0✓ <br />0 <br />L10 <br />0794380-208 <br />Prem fill <br />0✓ <br />in <br />L11 <br />0794380-304 <br />UNL trubine brine <br />in <br />L12 <br />0794380-304 <br />UNL fill brine <br />0✓ <br />0 <br />L13 <br />0794380-304 <br />DSL turbine brine <br />0✓ <br />0 <br />L14 <br />0794380-304 <br />DSL fill brine <br />L15 <br />0794380-304 <br />Prem turbine brine <br />0✓ <br />L16 <br />0794380-304 <br />Prem fill brine <br />0 <br />L17 <br />0794380-208 <br />Disp 1-2 sump <br />®✓ <br />L18 <br />0794380-208 <br />Disp 3-4 sump <br />L19 <br />0794380-208 <br />Disp 5-6 sump <br />0✓ <br />L20 <br />0794380-208 <br />Disp 7-8 sump <br />0✓ <br />L21 <br />0794380-208 <br />Disp 9-10 sump <br />© <br />Q <br />L22 <br />0794380-208 <br />Disp 11-12 sump <br />0✓ <br />L23 <br />0794380-304 <br />Disp 1-2 brine <br />® <br />r] <br />L24 <br />0794380-304 <br />Disp 3-4 brine <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 />