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Underground Storage Tank Monitoring System Certification Form 16. SENSOR TESTING RESULTS List only sensors tested on date of this certification. List "Sensor ID" as labeled in system programming. Additional copies of this page may be attached to accommodate all sensors tested. Sensor lD Sensor Model Component(s) Monitored Pass Fail L1 794380-303 T1 Unleaded 87A Annular Sensor 0 ❑ L2 794380-303 T2 Unleaded 87B Annular Sensor El ❑ L3 794380-303 T3 Unleaded 91 Annular Sensor F ❑ L4 794380-303 T4 Additive Annular Sensor 0 ❑ L5 794380-303 T5 Unleaded 87C Annular Sensor 0✓ ❑ L9 794380-323 T1 Unleaded 87A Fill Sump Sensor 0 ❑ L10 794380-323 T1 Unleaded 87A Turbine Sump Sensor E ❑ 1-11 794380-323 T2 Unleaded 87B Fill Sump Sensor 0 ❑ L12 794380-323 T2 Unleaded 87B Turbine Sump Sensor 0✓ ❑ L13 794380-323 T3 Unleaded 91 Fill Sump Sensor 0 ❑ L14 794380-323 T3 Unleaded 91 turbine Sump Sensor r ❑ L15 794380-323 T5 Unleaded 87C Fill Sump Sensor 0 ❑ L16 794380-323 T5 Unleaded 87C Turbine Sump Sensor 0✓ ❑ L17 794380-323 Dispenser 1/2 Sump Sensor 0 ❑ L18 794380-323 Dispenser 3/4 Sump Sensor 0 ❑ L19 794380-323 Dispenser 5/6 Sump Sensor M r] L20 794380-323 Dispenser 7/8 Sump Sensor M✓ ❑ L21 794380-323 Dispenser 9/10 Sump Sensor M✓ ❑ L22 794380-323 Dispenser 11/12 Sump Sensor 0 ❑ L23 794380-323 Dispenser 13/14 Sump Sensor 0 ❑ L24 794380-323 Dispenser 15/16 Sump Sensor 0 ❑ L25 794380-323 Dispenser 17/18 Sump Sensor 0 ❑ L26 794380-323 Dispenser 19/20 Sump Sensor 0 ❑ L27 794380-323 Dispenser 21/22 Sump Sensor 0 ❑ Describe all answers marked "No" or "Fail" and proposed remedy in Section 9. List all monitoring equipment either replaced or repaired in Section 9 Page 3of6