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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 <br />Sensor Model <br />Components) Monitored <br />Pass <br />Fail <br />L1 <br />794390-420 <br />DSL ANN. <br />RI <br />Li <br />L2 <br />794380-205 <br />5 HP SUMP <br />® <br />LI <br />L3 <br />794380-205 <br />1/5 HP SUMP <br />z <br />g <br />L4 <br />794390-420 <br />DISPN. PAN <br />✓z <br />LI <br />2 <br />Ij <br />El <br />D <br />Lj <br />Lj <br />L) <br />L) <br />� � <br />Q <br />11 <br />171 <br />LI <br />Lj <br />Lj <br />D <br />L1 <br />0 <br />LI <br />Q <br />El <br />0 <br />11 <br />0 <br />L) <br />Lj <br />D <br />D <br />El <br />D <br />LI <br />Li <br />L1 <br />Q <br />� <br />Q <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 />