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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. Additionaf copies of this page may be attached to accommodate all sensors tested. <br />Sensor ID <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />794380-301 <br />SUP. ANNULAR <br />A <br />5 <br />L2 <br />794380-209 <br />SUP. STP SUMP <br />Q <br />L3 <br />794380-209 <br />SUP. FILL SUMP <br />Q <br />L4 <br />794380-301 <br />REG. ANNULAR <br />Q <br />L5 <br />794380-209 <br />REG. STP SUMP <br />Ij <br />L6 <br />794380-209 <br />REG. FILL SUMP <br />L7 <br />794380-301 <br />DSL ANNULAR <br />L8 <br />794380-209 <br />DSL STP SUMP <br />Ej <br />L9 <br />794380-209 <br />DSL FILL SUMP <br />Q <br />L10 <br />794380-209 <br />VENT BOX <br />L11 <br />794380-208 <br />D 1-2 <br />L12 <br />794380-208 <br />D 3-4 <br />L13 <br />794380-208 <br />D 5-6Lj <br />L14 <br />794380-208 <br />D 7-8 <br />E) <br />L15 <br />794380-208 <br />D 9-10 <br />Q <br />L16 <br />794380-208 <br />D 11-12 <br />Q <br />Q <br />Al <br />Lj <br />L] <br />P. <br />Ll <br />D <br />Lj <br />L] <br />J <br />J <br />® <br />Li <br />® <br />Ll <br />Describe all answers marked ''No" or "Fail- and proposed remedy in Secrion 9. <br />List all monitoring equipment either replaced or repaired in Section 9 <br />Page 3 of 6 <br />