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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 iabeled in system <br />programming. Additional copies of this page may be attached to accommodate all sensors tested. <br />Sensor lD <br />Sensor Madel <br />Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />794380-208 <br />RUL. STP SUMP <br />0 <br />D <br />L2 <br />794380-208 <br />PUL. STP SUMP <br />Q <br />L3 <br />794380-208 <br />DISPN.1-2 <br />Q <br />L4 <br />794380-208 <br />DISPN.3-4 <br />L5 <br />794380-208 <br />DISPN.5-6 <br />❑ <br />L6 <br />794380-208 <br />DISPN.7-8 <br />0 <br />Q <br />L7 <br />794380-208 <br />VAPOR POT SUMP <br />R] <br />❑ <br />L8 <br />794390-420 <br />RUL. - PUL. ANNULAR <br />L9 <br />794390-420 <br />VAPOR POT ANN. <br />z <br />❑I <br />Q <br />Q <br />i <br />I � <br />Q <br />Q <br />Q <br />D <br />0 <br />L1 <br />Li <br />Lj <br />Q <br />El <br />Li <br />El <br />D <br />2 <br />D <br />E <br />Q <br />Lj <br />D <br />Ll <br />Q <br />D <br />D <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 />