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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 1 420 SOUTH TANK ANNULAR SPACE 0 ❑ <br /> L 2 420 NORTH TANK ANNULAR SPACE 0 ❑ <br /> L 3 420 EAST TANK ANNULAR SPACE D ❑ <br /> L 4 208 87 12000 STP SUMP D ❑ <br /> L 5 208 87 6000 STP SUMP 0 ❑ <br /> L 6 208 91 STP SUMP 0 ❑ <br /> L 7 208 110 STP SUMP 0 ❑ <br /> L 8 208 DIESEL STP SUMP 0 ❑ <br /> L 9 208 100 OCT STP SUMP 0 ❑ <br /> L 10 208 DISPENSER 1-2 0 ❑ <br /> L 11 208 DISPENSER 3-4 0 D <br /> L 12 208 DISPENSER 5-6 0 ❑ <br /> L 13 208 DISPENSER 7-8 0 ❑ <br /> L 14 208 DISPENSER 9-10 0 ❑ <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 />