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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 Sensor Model Component(s) Monitored Pass Fail <br /> L-1 794380-208 Unleaded T-1 STP 0 ❑ <br /> L-2 794380-302 Unleaded T-1 Annular 0 ❑ <br /> L-3 794380-208 Unleaded T-2 STP ❑ <br /> L-4 794380-302 Unleaded T-2 Annular 0 ❑ <br /> L-5 794380-208 Unleaded T-3 STP 0 ❑ <br /> L-6 794380-302 Unleaded T-3 Annular 0 ❑ <br /> L-7 794380-208 Unleaded T-4 STP 0 ❑ <br /> L-8 794380-302 Unleaded T-4 Annular 0 ❑ <br /> L-9 794380-208 Premium T-5 STP 0 ❑ <br /> L-10 794380-302 Premium T-5 Annular 0 ❑ <br /> L-11 794380-208 Disp 1-2 0 ❑ <br /> L-12 794380-208 Disp 3-4 ❑ <br /> L-13 794380-208 Disp 5-6 0 ❑ <br /> L-14 794380-208 Disp 7-8 0 ❑ <br /> L-15 794380-208 Disp 9-10 0 ❑ <br /> L-16 794380-208 Disp 11-12 ❑ <br /> L-17 794380-208 Disp 13 191 ❑ <br /> L-18 794380-208 Disp 14-15 ❑ <br /> L-19 794380-208 Disp 16-17 0 ❑ <br /> L-20 794380-208 Disp 18 0 ❑ <br /> L-21 794380-208 Unleaded T-1 Fill 0 ❑ <br /> L-22 794380-208 Unleaded T-2 Fill ❑ <br /> L-23 794380-208 Unleaded T-3 Fill 0 ❑ <br /> L-24 794380-208 Unleaded T-3 Fill 0 ❑ <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 />