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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 /> L1 794380-301 87A Tank Annular ® ❑ <br /> L2 794380-301 87B Tank Annular ® ❑ <br /> L3 794380-301 91 Tank Annular ® ❑ <br /> L4 794380-303 Additive Tank Annular ® ❑ <br /> L5 794380-304/323 87A Fill Sump (Hydro/Sump) ® ❑ <br /> L6 794380-352 87A STP Sump ® ❑ <br /> L7 794380-304/323 87B Fill Sump (Hydro/Sump) ® ❑ <br /> L8 794380-352 87B STP Sump ® ❑ <br /> L9 794380-304/323 91 Fill Sump (Hydro/Sump) ® ❑ <br /> L10 794380-352 91 STP Sump ® ❑ <br /> L11 794380-304/323 Additive STP Sump (Hydro/Sump) ® ❑ <br /> L12 794380-304/323 Additive Vent Box (Hydro/Sump) ® ❑ <br /> L13 794380-208 Dispenser 1-2 Sump ® ❑ <br /> L14 794380-208 Dispenser 3-4 Sump ® ❑ <br /> L15 794380-208 Dispenser 5-6 Sump ® ❑ <br /> L16 794380-208 Dispenser 7-8 Sump ® ❑ <br /> L17 794380-208 Dispenser 9-10 Sump ® ❑ <br /> L18 794380-208 Dispenser 11-12 Sump ® ❑ <br /> S9 332117/332175 Gas Additive Product Line (Vacuum) ® ❑ <br /> s10 332117/332175 Gas Additive Vent Line (Vacuum) ® ❑ <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 />