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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 !D" as labeled in system <br />programming. Additional copies of this page may be attached to accommodate all sensors tested. <br />Sensor lD <br />Sensor Model <br />Components) Monitored <br />Pass <br />Fail <br />L1 <br />794380-208 <br />SUP. STP SUMP <br />R) <br />Q <br />L2 <br />794380-208 <br />REG. STP SUMP <br />® <br />Q <br />L3 <br />794390-409 <br />SUP. ANNULAR <br />Q <br />L4 <br />794390-409 <br />REG.ANNULAR <br />0 <br />El <br />L5 <br />794380-208 <br />DISPN.1-2 <br />L6 <br />794380-208 <br />DISPN.3-4 <br />DISPN.5-6 <br />0 <br />0 <br />0 <br />L7 <br />794380-208 <br />❑ <br />L8 <br />794380-208 <br />DISPN.7-8 <br />0 <br />L9 <br />L10 <br />794380-208 <br />DISPN.9-10 <br />7 <br />0 <br />Q <br />794380-208 <br />DISPN.11-12 <br />Q <br />® <br />L3 <br />11 <br />D <br />Lj <br />Lj <br />D <br />11 <br />L1 <br />0 <br />LJ <br />Q <br />0 <br />Li <br />11 <br />Ej <br />Lj <br />Li <br />D <br />D <br />11 <br />D <br />Lj <br />Li <br />0 <br />Q <br />Q <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 />