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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 maybe attached to accommodate all sensors tested. <br />r ID <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />1 <br />4 0 9 <br />91 OCTANE ANNULAR SPACE <br />❑✓ <br />❑ <br />2 <br />F7L <br />4 0 9 <br />MASTER 87 OCTANE ANNULAR SPACE3 <br />4 0 9 <br />SLAVE 87 OCTANE ANNULAR SPACE <br />D✓ <br />❑ <br />L-4 <br />4 0 9 <br />DIESEL ANNULAR SPACE <br />D✓ <br />❑ <br />L-5 <br />2 0 8 <br />91 OCTANE S T P SUMP <br />❑ <br />L- 6 <br />2 0 8 <br />MASTER 87 OCTANE S T P SUMP <br />❑✓ <br />❑ <br />L-7 <br />2 0 8 <br />SLAVE 87 OCTANE S T P SUMP <br />D✓ <br />❑ <br />L- 8 <br />2 0 8 <br />DIESEL S T P SUMP <br />L - 9 <br />2 0 8 <br />91 OCTANE FILL SUMP <br />❑✓ <br />❑ <br />L-10 <br />2 0 8 <br />MASTER 87 OCTANE FILL SUMP <br />❑✓ <br />❑ <br />L-11 <br />2 0 8 <br />SLAVE 87 OCTANE FILL SUMP <br />RI <br />❑ <br />L-12 <br />2 0 8 <br />DIESEL FILL SUMP <br />❑ <br />L-13 <br />2 0 8 <br />DISPENSER 1/ 2 <br />❑✓ <br />❑ <br />L-14 <br />2 0 8 <br />DISPENSER 3/ 4 <br />❑ <br />L-15 <br />2 0 8 <br />DISPENSER 5/ 6 <br />❑ <br />L-16 <br />2 0 8 <br />DISPENSER 7/ 8 <br />❑✓ <br />❑ <br />L-17 <br />2 0 8 <br />DISPENSER 9 / 10 <br />✓❑ <br />❑ <br />L-18 <br />2 0 8 <br />DISPENSER 11 / 12 <br />0 <br />❑ <br />L-19 <br />2 0 8 <br />VENT SUMP <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 />