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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 ID Sensor Model Component(s) Monitored Pass Fail <br /> Ll 420 91 ANN ❑ <br /> L2 420 87 1 ANN ❑ <br /> L3 420 87 2 ANN 0 ❑ <br /> L4 208 91 STP 0 ❑ <br /> L5 208 87 1 STP IZ ❑ <br /> L6 208 87 2 SUMP 0 ❑ <br /> L7 208 VENT 0 ❑ <br /> L8 208 91 FILL 121 ❑ <br /> L9 208 87 1 FILL 0 ❑ <br /> L10 208 87 2 FILL 0 ❑ <br /> L11 208 1-2 0 ❑ <br /> L12 208 3-4 0 ❑ <br /> L13 208 5-6 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 />