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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 L - 1 2 0 8 REGULAR UNLEADED S T P SUMP 0 ❑ L - 2 3 0 4 REGULAR UNLEADED S T P SUMP BRINE 0 ❑ L - 3 2 0 8 REGULAR UNLEADED FILL SUMP 0 ❑ L - 4 3 0 4 REGULAR UNLEADED FILL SUMP BRINE 0 ❑ L - 5 2 0 8 PREMIUM UNLEADED S T P SUMP 0 ❑ L - 6 3 0 4 PREMIUM UNLEADED S T P SUMP BRINE 0 ❑ L - 7 2 0 8 PREMIUM UNLEADED FILL SUMP 0 ❑ L - 8 3 0 4 PREMIUM UNLEADED FILL SUMP BRINE 0 ❑ L - 9 2 0 8 DIESEL S T P SUMP 0 ❑ L - 10 3 0 4 DIESEL S T P SUMP BRINE 0 ❑ L - 11 2 0 8 DIESEL FILL SUMP 0 0 L - 12 3 0 4 DIESEL FILL SUMP BRINE 0 ❑ L - 13 2 0 8 VENT BOX SUMP 0 ❑ L - 14 3 0 4 VENT BOX SUMP BRINE 0 ❑ L - 15 2 0 8 DISPENSER 1 / 2 0 ❑ L - 16 3 0 4 DISPENSER 1 / 2 BRINE 0 ❑ L - 17 2 0 8 DISPENSER 3 / 4 0 ❑ L - 18 3 0 4 DISPENSER 3 / 4 BRINE 0 ❑ L - 19 2 0 8 DISPENSER 5 / 6 0 ❑ L - 20 3 0 4 DISPENSER 5 / 6 BRINE 0 ❑ L - 21 2 0 8 DISPENSER 7 / 8 0 ❑ L - 22 3 0 4 DISPENSER 7 / 8 BRINE 0 ❑ L - 23 2 0 8 DISPENSER 9 / 10 0 ❑ L - 24 3 0 4 DISPENSER 9 / 10 BRINE 0 ❑ 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