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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 /> L-1 VR-208 / VR-304 87 STP 2 and 1 module N ❑ <br /> L-2 VR-208 /VR-304 87 Fill 2 and 1 module N ❑ <br /> L-3 VR-208 /VR-304 91 STP 2 and 1 module ❑ <br /> L-4 VR-208 /VR-304 91 Fill 2 and 1 module ® ❑ <br /> L-5 VR-208 /VR-304 DSL STP 2 and 1 module ® ❑ <br /> L-6 VR-208 /VR-304 DSL Fill 2 and 1 module ® ❑ <br /> L-7 VR-208 / VR-304 Vent Box 2 and 1 module ® ❑ <br /> L-8 VR-304 Disp 1-2 Brine ® ❑ <br /> L-9 VR-208 Disp 1-2 ® ❑ <br /> L-10 VR-304 Disp 3-4 Brine ® ❑ <br /> L-11 VR-208 Disp 3-4 ® ❑ <br /> L-12 VR-304 Disp 5-6 Brine ® ❑ <br /> L-13 VR-208 Disp 5-6 ® ❑ <br /> L-14 VR-304 Disp 7-8 Brine ® ❑ <br /> L-15 VR-208 Disp 7-8 ® ❑ <br /> L-16 VR-304 Disp 9-10 Brine ® ❑ <br /> L-17 VR-208 Disp 9-10 ® ❑ <br /> L-18 VR-208 Disp 11-12 ® ❑ <br /> L-19 VR-304 Disp 11-12 Brine ® ❑ <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 3 of 6 <br />