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<br />Underground Storage Tank <br />Monitoring System Certification Form <br /> <br /> <br />Page 3 of 6 <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 /> <br />Sensor ID Sensor Model Component(s) Monitored Pass Fail <br />L1 794390-303 Regular Annular ☒☒☒☒ ☐☐☐☐ <br />L2 794390-303 Premium-Diesel Annular ☒☒☒☒ ☐☐☐☐ <br />L3 794380-208 Regular STP sump ☒☒☒☒ ☐☐☐☐ <br />L4 794380-208 Premium STP sump ☒☒☒☒ ☐☐☐☐ <br />L5 794380-208 Diesel STP sump ☒☒☒☒ ☐☐☐☐ <br />L6 794380-208 Regular Fill sump ☒☒☒☒ ☐☐☐☐ <br />L7 794380-208 Premium Fill sump ☒☒☒☒ ☐☐☐☐ <br />L8 794380-208 Diesel Fill sump ☒☒☒☒ ☐☐☐☐ <br />L9 794380-208 Vapor vent sump ☒☒☒☒ ☐☐☐☐ <br />L10 794380-208 UDC 1/2 ☒☒☒☒ ☐☐☐☐ <br />L11 794380-208 UDC 3/4 ☒☒☒☒ ☐☐☐☐ <br />L12 794380-208 UDC 5/6 ☒☒☒☒ ☐☐☐☐ <br />L13 794380-208 UDC 7/8 ☒☒☒☒ ☐☐☐☐ <br />L14 794380-208 UDC 9/10 ☒☒☒☒ ☐☐☐☐ <br />L15 794380-208 UDC 11/12 ☒☒☒☒ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <br /> ☐☐☐☐ ☐☐☐☐ <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 /> <br />