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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 lD <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L- 1 <br />2 0 8 <br />DISPENSER 1/ 2- UNTESTED <br />❑ <br />❑ <br />L- 2 <br />2 0 8 <br />DISPENSER 3/ 4 <br />❑ <br />L- 3 <br />2 0 8 <br />DISPENSER 5/ 6 <br />❑ <br />L- 4 <br />2 0 8 <br />DISPENSER 7/ 8 <br />❑ <br />L- 5 <br />2 0 8 <br />87 OCTANE S T P SUMP <br />❑ <br />L- 6 <br />2 0 8 <br />91 OCTANE S T P SUMP <br />0 <br />❑ <br />L - 7 <br />4 2 0 <br />SPLIT TANK ANNULAR SPACE <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />3E]] <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 />