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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 /> S-11 VR 330020-463,VR 330020-464 DIESEL VAC PRODUCT ✓❑ ❑ <br /> S-12 VR 330020-463,VR 330020-464 DIESEL VAC VENT ✓❑ ❑ <br /> S-13 VR 857080-111 DIESEL FILL ❑✓ ❑ <br /> S-14 VR 857080-111 VENT SUMP ✓❑ ❑ <br /> S-15 VR 857080-111 DISPENSER 1 &2 ✓❑ ❑ <br /> S-17 VR 857080-111 DISPENSER 3 &4 ❑✓ ❑ <br /> S-19 VR 857080-111 DISPENSER 5 &6 ✓❑ ❑ <br /> S-22 VR 857080-111 DISPENSER 7 &8 ✓❑ ❑ <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 3of6 <br />