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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 /> L1 208 87 STP 0 ❑ <br /> L2 420 87 ANN 0 ❑ <br /> L3 208 DSL STP 0 ❑ <br /> L4 420 DSL ANN 0 ❑ <br /> L5 208 91 STP 0 ❑ <br /> L6 420 91 ANNULAR 0 ❑ <br /> L7 208 87 FILL 0 ❑ <br /> L8 208 DSL FILL 0 ❑ <br /> L9 208 91 FILL 0 ❑ <br /> FLOATS 1-2 0 ❑ <br /> FLOATS 3-4 0 ❑ <br /> FLOATS 5-6 0 ❑ <br /> FLOATS 7-8 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 />