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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 794380-208 Rul stp ® B <br /> L2 794380-208 Rul fill ❑ <br /> L3 794380-303 Rul annular ® ❑ <br /> L4 794380-208 Pul stp 0 ❑ <br /> L5 794380-208 Pul fill D <br /> L6 794380-208 DSL stp ❑ <br /> L7 794380-208 DSL fill 0 Li <br /> L8 794380-303 Pul-DSL annular 0 D <br /> L9 794380-208 Disp 1-2 0 ❑ <br /> L10 794380-208 Disp 3-4 0 ❑ <br /> L11 794380-208 Disp 5-6 ® ❑ <br /> L12 794380-208 Disp 7-8 <br /> L13 794380-208 Disp 9-10 23 J <br /> L14 794380-208 Disp 11-12 Ea Lj <br /> L15 794380-208 Vent box ® ❑ <br /> S9 330020-463 Rul product vac 0 Lj <br /> _.._............... <br /> —..-- – — ---- ------- -------- <br /> S10 330020-463 Rul sumps vac 0 ❑ <br /> S11 330020-463 Rul vapor udc vac 0 <br /> S12 330020-463 Pul product vac 0 <br /> S13 330020-463 Pul sumps vac 0 Ll <br /> S14 330020-463 Pul-vent vac a L) <br /> S15 330020-463 DSL product vac 0 ❑ <br /> S16 330020-463 DSL sumps 0 ❑ <br /> .= 330020-463 DSL vent lines ® ❑ <br /> Describe all answers marked Wo"or"Fail'and proposed remedy in Section 9. <br /> List al/monitoring equipment either replaced or repaired in Section 9 <br /> Page 3 of 6 <br />