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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 VR 794380-352 REGULAR STP -A- ✓❑ ❑ <br /> L2 VR 794380-208 REGULAR STP -B- ✓❑ ❑ <br /> L3 VR 794380-352 REG AUX STP -A- ❑✓ ❑ <br /> L4 VR 794380-208 REG AUX STP -B- ✓❑ ❑ <br /> L5 VR 794380-352 PREMIUM STP -A- ✓❑ ❑ <br /> L6 VR 794380-208 PREMIUM STP -B- ❑✓ ❑ <br /> L7 VR 794380-208 DIESEL STP ✓❑ ❑ <br /> L8 VR 794380-301 REGULAR ANNULAR ❑✓ ❑ <br /> L9 VR 794380-301 REGULAR AUX ANNULAR ❑✓ ❑ <br /> L10 VR 794380-301 PREMIUM ANNULAR ✓❑ ❑ <br /> L11 VR 794380-301 DIESEL ANNULAR ❑✓ ❑ <br /> L12 VR 794380-208 REGULAR FILL SUMP ❑✓ ❑ <br /> L13 VR 794380-208 REG AUX FILL SUMP ✓❑ ❑ <br /> L14 VR 794380-208 PREMIUM FILL SUMP ❑✓ ❑ <br /> L15 VR 794380-208 DIESEL FILL SUMP ❑✓ ❑ <br /> L30 VR 794380-208 DISPENSER 11 & 12 ❑✓ ❑ <br /> L17 VR 794380-208 DISPENSER 17 & 18 ❑✓ ❑ <br /> L18 VR 794380-208 DISPENSER 19 &20 ✓❑ ❑ <br /> L19 VR 794380-208 DISPENSER 21 &22 ❑✓ ❑ <br /> L25 VR 794380-208 DISPENSER 1 &2 ❑✓ ❑ <br /> L26 VR 794380-208 DISPENSER 3&4 ❑✓ ❑ <br /> L27 VR 794380-208 DISPENSER 5 &6 ❑✓ ❑ <br /> L28 VR 794380-208 DISPENSER 7&8 ✓❑ fEl <br /> L29 VR 794380-208 DISPENSER 9& 10 z <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 />