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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 794380-301 REGULAR ANNULAR ✓❑ ❑ <br /> L2 VR 794380-304 REGULAR STP BRINE ✓❑ ❑ <br /> L3 VR 794380-304 REGULAR FILL BRINE ❑✓ ❑ <br /> L4 VR 794380-301 PREMIUM/ DSL ANNULAR ✓❑ ❑ <br /> L5 VR 794380-304 PREMIUM STP BRINE Z 1 <br /> L6 VR 794380-304 PREMIUM FILL BRINE ❑✓ ❑ <br /> L7 VR 794380-304 DIESEL STP BRINE ✓❑ ❑ <br /> L8 VR 794380-304 DIESEL FILL ANNULAR ❑✓ ❑ <br /> L9 VR 794380-304 VENT SUMP BRINE ❑✓ ❑ <br /> L10 VR 794380-304 DISPENSER 1 &2 BRINE ✓❑ ❑ <br /> L11 VR 794380-304 DISPENSER 3 &4 BRINE ❑✓ ❑ <br /> L12 VR 794380-304 DISPENSER 5 &6 BRINE ❑✓ ❑ <br /> L13 VR 794380-304 DISPENSER 7 &8 BRINE ✓❑ ❑ <br /> ❑ ❑ <br /> S1 VR 857080-111 REG STP ❑✓ ❑ <br /> S2 VR 330020-463/VR 330020-464 REG VAC PRODUCT ❑✓ ❑ <br /> S3 VR 330020-463/VR 330020-464 REG STP VAC VAPOR ❑✓ ❑ <br /> S4 VR 330020-463/VR 330020-464 REG STP VAC VENT ✓❑ ❑ <br /> S5 VR 857080-111 REG FILL ❑✓ ❑ <br /> S6 VR 857080-111 PREM STP ❑✓ ❑ <br /> S7 VR 330020-463/VR 330020-464 PREM VAC PRODUCT ❑ ❑ <br /> S8 VR 330020-463/VR 330020-464 PREM VAC VENT ❑✓ ❑ <br /> S9 VR 857080-111 PREM FILL ✓❑ fEl <br /> S10 VR 857080-111 DIESEL STP 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 3 of 6 <br />