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Underground Storage Tank Monitoring System Certification Form 6. SENSOR TESTING RESULTS List only sensors tested on date of this certification. List "Sensor ID" as labeled in system programming. Additional copies of this page may be attached to accommodate all sensors tested. Sensor lD Sensor Model Component(s) Monitored Pass Fail L1 VR 794380-352 REGULAR STP A ✓❑ ❑ L2 VR 794380-208 REGULAR STP B ❑✓ ❑ L3 VR 794380-352 REGULAR AUX STP A ✓❑ ❑ L4 VR 794380-208 REGULAR AUX STP B ❑✓ ❑ L5 VR 794380-352 PREMIUM STP A ✓❑ ❑ L6 VR 794380-352 PREMIUM STP B ✓❑ ❑ L7 VR 794380-208 DIESEL STP ❑✓ ❑ L8 VR 794380-301 REGULAR ANNULAR ✓❑ ❑ L9 VR 794380-301 REGULAR AUX ANNULAR ❑✓ ❑ L10 VR 794380-301 PREMIUM ANNULAR ✓❑ ❑ L11 VR 794380-301 DIESEL ANNULAR ❑✓ ❑ L12 VR 794380-208 REGULAR FILL SUMP ✓❑ ❑ L13 VR 794380-208 REGULAR AUX FILL SUMP ❑✓ ❑ L14 VR 794380-208 PREMIUM FILL SUMP ❑✓ ❑ L15 VR 794380-208 DIESEL FILL SUMP ❑✓ ❑ L17 VR 794380-208 DISPENSER 17 & 18 ✓❑ ❑ L18 VR 794380-208 DISPENSER 19 & 20 ❑✓ ❑ L19 VR 794380-208 DISPENSER 21 & 22 ✓❑ ❑ L25 VR 794380-208 DISPENSER 1 & 2 ❑✓ ❑ L26 VR 794380-208 DISPENSER 3 & 4 ❑✓ ❑ L27 VR 794380-208 DISPENSER 5 & 6 ❑✓ ❑ L28 VR 794380-208 DISPENSER 7 & 8 ✓❑ ❑ L29 VR 794380-208 DISPENSER 9 & 10 ✓❑ ❑ L30 VR 794380-208 DISPENSER 11 & 12 ✓❑ ❑ Describe all answers marked "No" or "Fail' and proposed remedy in Section 9. List all monitoring equipment either replaced or repaired in Section 9 Page 3 of 6