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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 lD"as labeled in system <br /> programming. Additional copies of this page maybe attached to accommodate all sensors tested. <br /> Sensor lD Sensor Model Component(s) Monitored Pass Fail <br /> L1 794390-409 REG.ANNULAR 0 El <br /> L2 794390-409 SUP.ANNULAR ® Li <br /> L3 794380-208 REG.STP ® L] <br /> L4 794380-208 SUP.STP. ® L] <br /> L5 794380-208 DISPN.1-2 0 Ll <br /> L6 794380-208 DISPN.3-4 0 Ll <br /> L7 794380-208 DISPN.5-6 0 Ll <br /> L8 794380-208 DISPN.7-8 R] Ll <br /> L9 794380-208 DISPN.9-10 Ej <br /> L10 794380-208 1.11-12 Ej <br /> Ll Ll <br /> L] Ll <br /> J D <br /> Ll Ll <br /> Ll Ll <br /> ® L] <br /> Ll D <br /> Li <br /> D L) <br /> L) L) <br /> Li Li <br /> ® L] <br /> Lj L] <br /> Describe all answers marked "No"or"Fail'and proposed remedy+'r Sectlora 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 3of6 <br />