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Underground Storage Tank <br />Monitoring System Certification Form <br />6. SENSOR TESTING RESULTS <br />Describe all answers marked "No" or "Fail" and proposed remedy in section U. <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 <br />Sensor Model Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />409 <br />91 Annular <br />L2 <br />409 <br />87 Master Annular <br />L3 <br />409 <br />87 Slave Annular <br />L4 <br />409 <br />Diesel Annular <br />(I] <br />9 <br />L5 <br />208 <br />91 STP <br />L6 <br />208 <br />87 Master STP <br />L7 <br />208 <br />87 Slave STP <br />0 <br />L8 <br />208 <br />Diesel STP <br />L9 <br />208 <br />91 Fill <br />© <br />un <br />L10 <br />208 <br />87 Master FIII <br />L11 <br />208 <br />87 Slave Fill <br />02 <br />208 <br />Diesel <br />L13 <br />208 <br />Dispenser 1=2 <br />L14 <br />208 <br />Dispenser 3.4 <br />0 <br />El <br />L15 <br />208 <br />Dispenser 5-6 <br />L16 <br />208 <br />Dispenser 7=8 <br />L17 <br />208 <br />Dispenser 940 <br />L18 <br />208 <br />Dispenser 1142 <br />L19 <br />208 <br />Secondary Vapor <br />List all monitoring equipment either replaced or repaired in Section 9 <br />Page 3 of 6 <br />