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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 />857390-102 <br />Disp 1-2 <br />171 <br />r] <br />L2 <br />857390-102 <br />Disp 3-4 <br />0 <br />L3 <br />857390-102 <br />Disp 5-6 <br />0✓ <br />0 <br />L4 <br />857390-102 <br />Disp 7-8 <br />L5 <br />857390-102 <br />Disp 9-10 <br />0✓ <br />ri <br />L6 <br />857390-102 <br />Disp 11-12 <br />0 <br />ri <br />L7 <br />857390-102 <br />87 STP sump <br />®✓ <br />0 <br />L8 <br />857390-102 <br />87 Fill sump <br />0 <br />L9 <br />0794380-303 <br />87 Annular <br />0✓ <br />L10 <br />857390-102 <br />91 STP sump <br />0✓ <br />L11 <br />857390-102 <br />91 Fill sump <br />�✓ <br />L12 <br />857390-102 <br />Diesel STP sump <br />0✓ <br />0 <br />L13 <br />857390-102 <br />Diesel Fill sump <br />�✓ <br />L14 <br />0794380-303 <br />91 -Diesel Annular <br />L15 <br />857390-102 <br />Vent sump <br />0✓ <br />S9 <br />332175-001 <br />87 product zn1 <br />0 <br />s10 <br />332175-001 <br />vapor secondary zn2 <br />®✓ <br />S11 <br />332175-001 <br />91 product zn3 <br />s12 <br />332175-001 <br />all vents secondary zn4 <br />0✓ <br />s13 <br />332175-001 <br />diesel product zn5 <br />0✓ <br />0 <br />0 <br />0 <br />� <br />0 <br />� <br />0 <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 />