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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 794370-208 Regular STP Sump ✓❑ ❑ <br /> L2 VR 794370-208 Premium STP Sump ✓❑ ❑ <br /> L3 VR 794370-208 Diesel STP Sump ❑✓ ❑ <br /> L4 VR 794390-460 Regular Annular ✓❑ ❑ <br /> L5 VR 794390-460 Premium-Diesel Annular ✓❑ [T <br /> L6 VR 794370-208 Vent Box ❑✓ ❑ <br /> L7 VR 794370-208 Dispenser 1 &2 UDC ✓❑ ❑ <br /> L8 VR 794370-208 Dispenser 3 &4 UDC ❑✓ ❑ <br /> L9 VR 794370-208 Dispenser 5 &6 UDC ❑✓ ❑ <br /> L10 VR 794370-208 Dispenser 7 &8 UDC ✓❑ ❑ <br /> L11 VR 794370-208 Dispenser 9 & 10 UDC ❑✓ ❑ <br /> L12 VR 794370-208 Dispenser 11 & 12 UDC ❑✓ ❑ <br /> L13 VR 794370-208 Dispenser 13 & 14 UDC ✓❑ ❑ <br /> L14 VR 794370-208 Dispenser 15 & 16 UDC ❑✓ ❑ <br /> L15 VR 794370-208 Dispenser 17 & 18 UDC ❑✓ ❑ <br /> L16 VR 794370-208 Dispenser 19 &20 UDC ❑✓ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> E] ❑ <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 />