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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 1 208 87 SYPON SUMP 0 ❑ <br /> L 2 208 87 MASTER STP SUMP 0 ❑ <br /> L 3 208 91 STP SUMP 0 ❑ <br /> L 4 420 87 SYPON ANNULAR SPACE 0 ❑ <br /> L 5 420 87 MASTER ANNULAR SPACE 0 ❑ <br /> L 6 420 91 ANNULAR SPACE 0 ❑ <br /> L 7 208 87 FILL SUMP 0 ❑ <br /> L 8 208 87 MASTER FILL SUMP 0 ❑ <br /> L 9 208 91 FILL SUMP 0 ❑ <br /> ❑ ❑ <br /> DISPNESER 1-2 CHAINS AND FLOATS 0 ❑ <br /> DISPENSER 3-4 CHAINS AND FLOATS 0 ❑ <br /> DISPENSER 5-6 CHAINS AND FLOATS 0 ❑ <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 />