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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 /> L-1 VR-208 T-1 Diesel STP Sump ❑ ❑ <br /> L-2 VR-208 T-2 87 STP Sump ❑ ❑ <br /> L-3 VR-208 T-3 91 STP Sump ❑ ❑ <br /> L-4 VR-302 T-3 91 Tank Annular ❑ ❑ <br /> L-5 VR-302 T-2 87 Tank Annular ❑ ❑ <br /> L-6 VR-302 T-1 Diesel Tank Annular ❑ ❑ <br /> UDC#1-2 Bravo B2000 C&F UDC #1-2 Bravo Chains & Floats ❑ ❑ <br /> UDC#3-4 Bravo B2000 C&F UDC #34 Bravo Chains & Floats ❑ ❑ <br /> UDC#5-6 Bravo B2000 C&F UDC #5-6 Bravo Chains & Floats ❑ ❑ <br /> UDC#7-8 Bravo B2000 C&F UDC #7-8 Bravo Chains & Floats ® ❑ <br /> ❑ ❑ <br /> #1 LS-10 Waste Oil Tank Annular/ Ronan X-76 Monitor ❑ ❑ <br /> #2 LS-3 High Level Sensor/ Ronan X-76 Monitor ❑ ❑ <br /> #3 LS-3 Waste Oil Sump Sensor/ Ronan X-76 Monitor ❑ ❑ <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 /> Page 3of6 <br />