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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 programming. <br /> 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 794380-208 DIESEL STP SUMP x ❑ <br /> L2 794390-409 87 ANNULAR x ❑ <br /> L3 794380-208 DIESEL FILL SUMP x ❑ <br /> L4 794390-409 DIESEL ANNULAR x ❑ <br /> L5 794380-208 91 STP SUMP x ❑ <br /> L6 794380-208 87 FILL SUMP x ❑ <br /> L7 794390-208 87 STP SUMP x ❑ <br /> L8 794380-208 91 FILL SUMP x ❑ <br /> L9 794390-409 91 ANNULAR x ❑ <br /> L10 794380-208 DISPENSER 5&6 x ❑ <br /> 1-11 794380-208 DISPENSER 3&4 x ❑ <br /> L12 794380-208 DISPENSER 1&2 x ❑ <br /> L13 794380-208 DISPENSER 11&12 x ❑ <br /> L14 794380-208 DISPENSER 9&10 x ❑ <br /> L16 794380-208 DISPENSER 7&8 x ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> O ❑ <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 />