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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 /> S11 Vr 330020-463,330020-464 Diesel Vac Product ✓❑ ❑ <br /> S12 Vr 330020-463,330020-464 Diesel Vac Vent ✓❑ ❑ <br /> S13 VR 857080-111 Diesel Fill ❑✓ ❑ <br /> S14 VR 857080-111 Vent Sump ✓❑ ❑ <br /> S15 VR 857080-111 Dispenser 1 &2 ✓❑ El- <br /> S17 <br /> S17 VR 857080-111 Dispenser 3 &4 ❑✓ ❑ <br /> S19 VR 857080-111 Dispenser 5 &6 ✓❑ ❑ <br /> S22 VR 857080-111 Dispenser 7 &8 ❑✓ El <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ fElE] <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 />