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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 <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L 1 <br />208 <br />DT 1 STP SUMP <br />0 <br />❑ <br />L 2 <br />340 <br />DT 1 STP BRINE <br />0 <br />❑ <br />L 3 <br />208 <br />DT 1 FILL SUMP <br />121 <br />❑ <br />L 4 <br />304 <br />DT 1 FILL SUMP BRINE <br />0 <br />❑ <br />L 5 <br />303 <br />DT 1 ANNULAR SPACE <br />z <br />❑ <br />L 6 <br />208 <br />DT 1 DISPENSER PAN <br />0 <br />❑ <br />L 7 <br />304 <br />DT 1 DISPENSER PAN BRINE <br />❑✓ <br />❑ <br />L 8 <br />208 <br />DT 2 STP SUMP <br />m <br />❑ <br />L 9 <br />304 <br />DT 2 STP SUMP BRINE <br />121 <br />❑ <br />L 10 <br />208 <br />DT 2 FILL SIUMP <br />❑✓ <br />❑ <br />L 11 <br />304 <br />DT 2 FILL SUMP BRINE <br />0 <br />L 12 <br />303 <br />DT 2 ANNULAR SPACE <br />0 <br />❑ <br />L 13 <br />208 <br />DIESEL TRAN SUMP <br />P1 <br />❑ <br />L 14 <br />304 <br />DIESEL TRANS SUMP BRINE <br />0 <br />❑ <br />L 15 <br />208 <br />VENT BOX <br />❑✓ <br />❑ <br />L 16 <br />304 <br />VENT BOX BRINE <br />0 <br />❑ <br />L 17 <br />208 <br />FILTER ROOM LOW PAN <br />0 <br />❑ <br />L 18 <br />208 <br />DIESEL DISPENSER 1 <br />❑� <br />❑ <br />L 19 <br />208 <br />DIESEL DISPENSER 2 <br />0 <br />❑ <br />L 20 <br />208 <br />DIESEL DISPENSER 3 <br />0✓ <br />❑ <br />L 21 <br />208 <br />DIESEL DISPENSER 4 <br />❑ <br />L 22 <br />208 <br />GT 1 STP SUMP <br />❑ <br />L 23 <br />304 <br />GT 1 STP SUMP BRINE <br />2 <br />❑ <br />L 24 <br />208 <br />GT 1 FILL SUMP <br />121 <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 />