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Underground Storage Tank <br />Monitoring System Certification Form <br />6. SENSOR TESTING RESULTS - SJRTD 9-23-24 ADDITONAL PAGE LARGE SENSOR SITE <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 <br />Component(s) Monitored <br />Pass <br />L 25 <br />304 <br />GT 1 FILL SUMP BRINE <br />0 <br />L 26 <br />303 <br />GT 1 ANNULAR SPACE <br />0 <br />L 27 <br />208 <br />GT 1 DISPENSER SUMP <br />0 <br />L 28 <br />304 <br />GT 1 DISPENSER BRINE <br />0 <br />L 29 <br />208 <br />GT 1 VENT SUMP <br />L 30 <br />304 <br />GT 1 SUMP BRINE <br />L 31 <br />420 <br />ANNULAR SPACE AST <br />✓❑ <br />S1 <br />VAC <br />DT 1 PRODUCT <br />S2 <br />VAC <br />DT 2 SYPON <br />S3 <br />VAC <br />DT 1 VENT <br />1221 <br />S4 <br />VAC <br />DT 2 PRODUCT <br />0 <br />S5 <br />VAC <br />DT VENT <br />0 <br />S6 <br />VAC <br />GT 1 PRODUCT <br />0 <br />S7 <br />VAC <br />GT 1 VENT <br />0 <br />S8 <br />VAC <br />GT 1 VAPOR <br />0 <br />El <br />❑ <br />❑ <br />❑ <br />❑ <br />El❑ <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 />O <br />ro <br />Page 3 of 6 <br />