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Underground Storage Tank Monitoring System Certification Form 6. SENSOR TESTING RESULTS List only sensors tested on date of this certification. List "Sensor ID"as labeled in system programming. Additional copies of this page may be attached to accommodate all sensors tested. Sensor lD Sensor Model Component(s) Monitored Pass Fail L1 VR 794380-208/794380-304 Vent Box ✓❑ ❑ L5 VR 794380-303 Regular Annular ✓❑ ❑ L6 VR 794380-208/794380-304 Regular Fill Liquid and Brine ❑✓ ❑ L7 VR 794380-208/794380-304 Regular STP liquid and Brine ✓❑ ❑ L8 VR 794380-303 Premium - Diesel Annular ✓❑ ❑ L9 VR 794380-208/794380-304 Premium STP liquid and Brine ❑✓ ❑ L10 VR 794380-208/794380-304 Premium Fill liquid and Brine ✓❑ ❑ L11 VR 794380-208/794380-304 Diesel STP Liquid and Brine ❑✓ El L12 VR 794380-208/794380-304 Diesel Fill Liquid and Brine ❑✓ ❑ L13 VR 794380-208/794380-304 Dispenser 1-2 Liquid and Brine ✓❑ ❑ L14 VR 794380-208/794380-304 Dispenser 3-4 Liquid and Brine ❑✓ ❑ L15 VR 794380-208/794380-304 Dispenser 5-6 Liquid and Brine ❑✓ ❑ L16 VR 794380-208/794380-304 Dispenser 7-8 Liquid And Brine ✓❑ ❑ L17 VR 794380-208/794380-304 Dispenser 9-10 Liquid and Brine ❑✓ ❑ L18 VR 794380-208/794380-304 Dispenser 11-12 Liquid and Brine ❑✓ ❑ L19 VR 794380-208/794380-304 Dispenser 13-14 Liquid and Brine ❑✓ ❑ L20 VR 794380-208/794380-304 Dispenser 15-16 Liquid and Brine ❑✓ ❑ S2 VR 330020-463/330020-464 Premium Chase Vac ✓❑ ❑ S3 VR 330020-463/330020-464 Diesel Chase Vac ❑✓ ❑ S10 VR 330020-463/330020-464 Regular Product Vac ❑✓ ❑ S11 VR 330020-463/330020-464 Regular Chase Vac ❑✓ E]— S12 S12 VR 330020-463/330020-464 Vapor Return 87 Vac ❑✓ ❑ S13 VR 330020-463/330020-464 Premium Product Line Vac ✓❑ ❑ S14 VR 330020-463/330020-464 Premium Vent Regular vent Vac ✓❑ ❑ Describe all answers marked "No"or "Fail"and proposed remedy in Section 9. List all monitoring equipment either replaced or repaired in Section 9 Page 3of6