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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 maybe attached to accommodate all sensors tested. <br /> Sensor ID Sensor Model Component(s) Monitored Pass Fail <br /> L1 794380-208 RUL STP ❑ ❑ <br /> L2 794380-208 RUL FILL ❑ ❑ <br /> L3 794380-303 RUL ANNULAR ❑ ❑ <br /> L4 794380-208 PUL STP ❑ ❑ <br /> L5 794380-208 PUL FILL ❑ ❑ <br /> L6 794380-303 PUL ANNULAR ❑ ❑ <br /> L7 794380-208 DSL STP __.._____-__.___________ ❑ ❑ <br /> L8 794380-208 DSL FILL ❑ ❑ <br /> L9 794380-208 VENT BOX ❑ ❑ <br /> L10 794380-208 D1/2 0 ❑ <br /> L11 794380-208 D3/4 - ❑ ❑ <br /> S1 330020-464 RUL PROD.VAC Ej J <br /> S2 330020-464 RUL SUMP VAC 0 Lj <br /> S3 330020-464 VAPOR UDC VAC ® ❑ <br /> S4 330020-464 PUL PROD.VAC ® ❑ <br /> S5 330020-464 PUL SUMPS VAC ❑ ❑ <br /> S6 330020-464 PUL-RUL VENT VAC R) ❑ <br /> S7 330020-464 DSL PROD.VAC a Ll <br /> S9 330020-464 DSL SUMPS VAC a Li <br /> S10 330020464 DSL VENT/VENT BOX 2) Ll <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ F <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 />