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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 784380-301 Regular Annular ✓❑ ❑ <br /> L2 VR 784380-304 Regular STP Brine ✓❑ ❑ <br /> L3 VR 784380-304 Regular Fill Brine ❑✓ ❑ <br /> L4 VR 784380-301 Premium/Diesel Annular ✓❑ ❑ <br /> L5 VR 784380-304 Premium STP Brine ✓❑ ❑ <br /> L6 VR 784380-304 Premium Fill Brine ❑✓ ❑ <br /> L7 VR 784380-304 Diesel Fill STP Brine ✓❑ ❑ <br /> L8 VR 784380-304 Diesel Fill Annular ❑✓ ❑ <br /> L9 VR 784380-304 Vent Sump Brine ❑✓ ❑ <br /> L10 VR 784380-304 Dispenser 1 &2 Brine ✓❑ ❑ <br /> L11 VR 784380-304 Dispenser 3 &4 Brine ❑✓ ❑ <br /> L12 VR 784380-304 Dispenser 5 &6 Brine ❑✓ ❑ <br /> L13 VR 784380-304 Dispenser 7 &8 Brine ✓❑ ❑ <br /> ❑ ❑ <br /> S1 VR 857080-111 Regular STP ❑✓ ❑ <br /> S2 VR 330020-463/330020-464 Regular Vac Product ❑✓ ❑ <br /> S3 VR 330020-463/330020-464 Regular STP Vac Vapor ❑✓ ❑ <br /> S4 VR 330020-463/330020-464 Regular STP Vac Vent ✓❑ ❑ <br /> S5 VR 857080-111 Regular Fill ❑✓ ❑ <br /> S6 VR 857080-111 Premium STP ❑✓ ❑ <br /> S7 VR 330020-463/330020-464 Premium Vac Product ❑✓ ❑ <br /> S8 VR 330020-463/330020-464 Premium Vac Vent ❑✓ ❑ <br /> S9 VR 857080-111 Premium Fill ✓❑ ❑ <br /> S10 VR 857080-111 Diesel STP ✓❑ ❑ <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 />