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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 794380-208 DISPENSER 13 & 14 ✓❑ ❑ <br /> L2 794380-208 DISPENSER 5 & 6 ✓❑ ❑ <br /> L3 794380-208 DISPENSER 7 &8 ❑✓ ❑ <br /> L4 794380-208 DISPENSER 11 & 12 ✓❑ ❑ <br /> L5 794380-208 DISPENSER 3 &4 ✓❑ ❑ <br /> L6 794380-208 DISPENSER 9 & 10 ❑✓ ❑ <br /> L7 794380-208 DISPENSER 1 &2 ✓❑ ❑ <br /> L9 794380-208 UNLEAD STP SUMP ❑✓ ❑ <br /> L10 794380-208 PLUS STP SUMP ❑✓ ❑ <br /> L11 794380-208 PREMIUM STP SUMP ✓❑ ❑ <br /> L12 794380-208 DIESEL STP SUMP ❑✓ ❑ <br /> L13 794380-208 UNLEAD FILL SUMP ❑✓ ❑ <br /> L14 794380-208 PLUS FILL SUMP ✓❑ ❑ <br /> L15 794380-208 PREMIUM FILL SUMP ❑✓ ❑ <br /> L16 794380-208 DIESEL FILL SUMP ❑✓ ❑ <br /> L17 Ronan LS3 UNLEAD ANNULAR ❑✓ ❑ <br /> L18 794390-420 PLUS ANNULAR ❑✓ ❑ <br /> L19 Ronan LS3 PREMIUM ANNULAR ✓❑ ❑ <br /> L20 Ronan LS3 DIESEL ANNULAR ❑✓ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />