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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 iD Sensor Model Component(s) Monitored Pass Fail <br /> L1 794380-303 87 Annular rl <br /> L2 794380-303 91/DSL Annular in <br /> L5 794380-208/304 87 STP ri <br /> L6 794380-208/304 87 Fill In <br /> L7 794380-208/304 91 STP Im <br /> L8 794380-208/304 91 Fill <br /> L9 794380-208/304 DSL STP 0 ri <br /> L10 794380-208/304 DSL Fill F1 rl <br /> L11 794380-208/304 Vent M In <br /> L13 794380-208/304 1/2 In <br /> L14 794380-208/304 3/4 <br /> L15 794380-2081304 5/6 <br /> L16 794380-208/304 7/8 <br /> L17 794380-208/304 9/10 <br /> L18 794380-208/304 11/12 <br /> L19 794380-208/304 13/14 <br /> L20 794380-208/304 15/16 r ri <br /> S10 330026-463 87 Prod M In <br /> S11 330026-463 87 Vent ri ri <br /> S12 330026-463 87 Vapor El <br /> S13 330026-463 91 Prod <br /> S14 330026-463 91 Vent F1 FM <br /> S15 330026-463 DSL Prod El r] <br /> S16 330026-463 DSL Vent F1 In <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 />