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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 1D Sensor Model Component(s) Monitored Pass Fall <br /> L1 794380-208 D1/2 R3 D <br /> L2 794380-208 D3/4 ❑ Li <br /> L3 794380-208 D5/6 A Ll <br /> L4 794380-208 D7/8 A ❑ <br /> L5 794380-208 D9/10 A <br /> L6 794380-208 D11/12 21 El <br /> L7 794380-208 REG. STP A LA <br /> L8 794380-208 REG. FILL A Lj <br /> L9 794380-303 REG.ANNULAR ❑ Li <br /> L10 794380-208 PREM. STP A ❑ <br /> L11 794380-208 PREM. FILL ❑ Ll <br /> L12 794380-208 DSL STP A Lj <br /> L13 794380-208 DSL FILL A D <br /> L14 794380-303 DSL-PREM.ANNULAR g <br /> L15 794380-208 VENT BOX ✓� ❑ <br /> Q Q <br /> ❑ Li <br /> ❑ LA <br /> ❑ ❑ <br /> ❑ Ll <br /> ..❑ Lj <br /> ❑ Lj— <br /> Describe all answers marked Wo"or "Fail'and proposed remedy in Secdon 9. <br /> List ail monitoring equipment either replaced or repaired in Section 9 <br /> Page 3 of 6 <br />