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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 /> L23 794380-208 Dispenser 7-8 <br /> L24 794390-420 Dispenser 7-8 Brine <br /> L25 794380-208 Dispenser 9-10 ® r] <br /> L26 794390-420 Dispenser 9-10 Brine ® ri <br /> L27 794380-208 Dispenser 11-12 <br /> L28 794390-420 Dispenser 11-12 Brine <br /> 0 <br /> S1 330020-464 Regular 87 Product High Liquid 0 <br /> S1 330020-463 Regular 87 Product No Vacuum <br /> S2 330020-464 Regular 87 Vent High Liquid <br /> S2 330020-463 Regular 87 Vent No Vacuum <br /> S3 330020-464 Regular 87 Vapor High Liquid <br /> S3 330020-463 Regular 87 Vapor No Vacuum <br /> S4 330020-464 Premium 91 Product High Liquid <br /> S4 330020-463 Premium 91 Product No Vacuum 9 ri <br /> S5 330020-464 Premium 91 Vent High Liquid <br /> S5 330020-463 Premium 91 Vent No Vacuum <br /> S6 330020-464 Diesel Product High Liquid <br /> S6 330020-463 Diesel Product No Vacuum <br /> S7 330020-464 Diesel Vent High Liquid <br /> S7 330020-463 Diesel Vent No Vacuum <br /> 0 <br /> 0 rl <br /> 0 rl <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 3 of 6 <br />