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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 794380-208 87 Turbine Sump ✓❑ ❑ <br /> L2 VR 794380-208 87 Fill Sump ✓❑ ❑ <br /> L3 VR 794390-460 87 Annular ❑✓ ❑ <br /> L4 VR 794380-208 91 Turbine Sump ✓❑ ❑ <br /> L5 VR 794380-208 91 Fill Sump ✓❑ ❑ <br /> L6 VR 794380-208 Diesel Turbine Sump ❑✓ ❑ <br /> L7 VR 794380-208 Diesel Fill Sump ✓❑ ❑ <br /> L8 VR 794390-460 91 /Diesel Annular ❑✓ ❑ <br /> L9 VR 794380-208 DISPENSER 1 &2 Sump ❑✓ ❑ <br /> L10 VR 794380-208 DISPENSER 3 &4 Sump ✓❑ ❑ <br /> 1-11 VR 794380-208 DISPENSER 5 &6 Sump ❑✓ ❑ <br /> L12 VR 794380-208 DISPENSER 7 & 8 Sump ❑✓ ❑ <br /> L13 VR 794380-208 DISPENSER 9 & 10 Sump ✓❑ ❑ <br /> L14 VR 794380-208 DISPENSER 11 & 12 Sump ❑✓ ❑ <br /> L15 VR 794380-208 DISPENSER 13 & 14 Sump ❑✓ ❑ <br /> L16 VR 794380-208 DISPENSER 15 & 16 Sump ❑✓ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />