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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 Sensor Model Component(s) Monitored Pass Fail <br /> L 1 303 87 ANNULAR SPACE ❑✓ ❑ <br /> L 2 208 87 STP SUMP El ❑ <br /> L 3 208 87 FILL SUMP 0 ❑ <br /> L 4 303 91 / DIESEL ANNULAR SPACE ❑✓ ❑ <br /> L 5 208 91 STPS SUMP 11 ❑ <br /> L 6 208 91 FILL SUMP ❑✓ ❑ <br /> L 7 208 DIESEL STP SUMP ❑✓ ❑ <br /> L 8 208 DIESEL FILL SUMP ❑✓ ❑ <br /> L 9 208 VENT SUMP IZI ❑ <br /> L 10 208 DISPENSER 9-10 ❑✓ ❑ <br /> L 11 208 DISPENSER 11-12 0 ❑ <br /> L 12 208 DISPENSER 7-8 ❑✓ ❑ <br /> L 13 208 DISPENSER 5-6 0 ❑ <br /> L 14 208 DISPENSER 1-2 ❑✓ ❑ <br /> L 15 208 DISPENSER 3-4 ❑✓ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />