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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 /> S-1 VR-463 / VR-464 87 Product Vac N ❑ <br /> S-2 VR-463 /VR-464 87 Vent Vac N ❑ <br /> S-3 VR-463 /VR-420 87 Annular Vac N ❑ <br /> S-4 VR-463 /VR-464 87 Vapor Vac ® ❑ <br /> S-5 VR-463 /VR-464 91 Product Vac ® ❑ <br /> S-6 VR-463 /VR-464 91 Vent Vac ® ❑ <br /> S-7 VR-463 /VR-464 Diesel Product Vac ® ❑ <br /> S-9 VR-463 /VR-464 Diesel Vent Vac ® ❑ <br /> S-10 VR-463 /VR-420 Diesel / 91 Annular Vac ® ❑ <br /> ® ❑ <br /> ® ❑ <br /> ® ❑ <br /> ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 3 of 6 <br />