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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 1D"as labeled in system <br /> -programming-Additional-copies-otthis-page-maybe-attached toaccommodate-all sensors tested. <br /> Sensor lD Sensor Model Components) Monitored Pass Fail <br /> L1 794 80-208 Disp. 112 ® El <br /> L2 794i86-208 Disp. 314 ® El <br /> L3 794 8 -208 Disp. 516 El E <br /> L4 794380-208 Disp. 718 <br /> L5 794380-208 87 Cent. STP <br /> L6 794380-208 87 Cent. Fill <br /> L8 794380-208 87 E. STP <br /> L9 794380-208 87 E. Fill <br /> 1-11 794380-208 87 W. STP <br /> L12 794380-208 87 W. Fill <br /> L14 794390-208 91 STP <br /> L15 794380-208 91 Fill <br /> L7 794390-409 87 Cent. Q✓ <br /> L10 794390-409 87 E.Annular <br /> L13 794390-409 87 W. Annular <br /> L16 794390-409 91 Annular <br /> ® n <br /> ® 1 91 1 <br /> in El <br /> 17 El <br /> El <br /> ® El <br /> Describe all answers marked "Non 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 />