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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 Sensor Model Component(s) Monitored Pass Fail <br /> L1 794380-209 SUPREME STP 0 D <br /> L2 794380-209 REG 2 STP ® Ll <br /> L3 794380-209 REG 1 STP 21 Lj <br /> L4 794390-409 SUPREME ANNULAR ® Lj <br /> L5 794390-409 REG 2 ANNULAR <br /> L6 794390-409 REG 1 ANNULAR A Ll <br /> L7 794380-208 DISP 1-2 0 Lj <br /> L8 794380-208 DISP 3-4 0 Ll <br /> L9 794380-208 DISP 5-6 ® D <br /> L10 794380-208 DISP 7-8 ® Li <br /> L11 794380-208 DISP 9-10 ® Ll <br /> L12 794380-208 DISP 11-12 A Li <br /> L13 794380-209 SUPREME FILL R) Lj <br /> L14 794380-209 REG 2 FILL 0 Ll <br /> L15 794380-209 REG 1 FILL z <br /> Li Li <br /> Li Ll <br /> Ll Ll <br /> L) Lj <br /> Ll Lj <br /> 1j L, <br /> L1 <br /> 1i Lj <br /> Describe all answers marked "No"or"Fail"and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Secdon 9 <br /> Page 3 of 6 <br />