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Underground Storage Tank <br />Monitoring System Certification Form <br />1 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 <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L-1 <br />VR -208 <br />T-1 91 STP Sump <br />N <br />❑ <br />L-2 <br />VR -409 <br />T-1 91 Tank Annular <br />N <br />❑ <br />L-3 <br />VR -208 <br />T-2 89 STP Sump <br />N <br />❑ <br />L-4 <br />VR -409 <br />T-2 89 Tank Annular <br />® <br />❑ <br />L-5 <br />VR -208 <br />T-3 87 STP Sump <br />® <br />❑ <br />L-6 <br />VR -409 <br />T-3 87 Tank Annular <br />® <br />❑ <br />L-7 <br />VR -208 <br />T-4 Diesel STP Sump <br />® <br />❑ <br />L-8 <br />VR -409 <br />T-4 Diesel Tank Annular <br />® <br />❑ <br />UDC #1-2 <br />Beaudreau 406 <br />UDC #1-2 "Stand Alone" <br />® <br />❑ <br />UDC #3-4 <br />Beaudreau 406 <br />UDC #3-4 "Stand Alone" <br />® <br />❑ <br />UDC #5-6 <br />Beaudreau 406 <br />UDC #5-6 "Stand Alone" <br />® <br />❑ <br />UDC #7-8 <br />Beaudreau 406 <br />UDC #7-8 "Stand Alone" <br />® <br />❑ <br />UDC #9-10 <br />VR -001 <br />UDC #9-10 "Stand Alone" <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <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 />