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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 />794380-208 <br />Diesel STP 1 <br />0 <br />❑ <br />L7 <br />794380-303 <br />Diesel 1 Annular <br />0 <br />❑ <br />L19 <br />794380-208 <br />Disp. 16 <br />❑ <br />L20 <br />794380-208 <br />Disp 14-15 <br />0 <br />❑ <br />L21 <br />794380-208 <br />Disp. 13 <br />❑ <br />L28 <br />794380-208 <br />Disp. 19 Master <br />0 <br />❑ <br />L29 <br />794380-208 <br />Disp. 19 Satellite <br />❑ <br />L30 <br />794380-208 <br />Disp. 20 Master <br />❑ <br />L31 <br />794380-208 <br />Disp. 20 Satellite <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />0 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />© <br />❑ <br />0 <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 3of6 <br />