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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 /> L1 VR 208 DISPENSER#13-14 ® ❑ <br /> L2 VR 208 DISPENSER#5-6 ® ❑ <br /> L3 VR 208 DISPENSER#7-8 ® ❑ <br /> L4 VR 208 DISPENSER#11-12 N ❑ <br /> L5 VR 208 DISPENSER#3-4 ® ❑ <br /> L6 VR 208 DISPENSER#9-10 ® ❑ <br /> L7 VR 208 DISPENSER #1-2 ® ❑ <br /> L8 UNUSED ❑ ❑ <br /> L9 VR 208 87 STP SUMP ® ❑ <br /> L10 VR 208 89 STP SUMP ® ❑ <br /> L11 VR 208 91 STP SUMP ® ❑ <br /> L12 VR 208 DIESEL STP SUMP ® ❑ <br /> L13 VR 208 87 FILL SUMP ® ❑ <br /> L14 VR 208 89 FILL SUMP ® ❑ <br /> L15 VR 208 91 FILL SUMP ® ❑ <br /> L16 VR 208 DIESEL FILL SUMP ® ❑ <br /> L17 VR 420 87 ANNULAR ® ❑ <br /> L18 VR 420 89 ANNULAR ® ❑ <br /> L19 VR 420 91 ANNULAR ® ❑ <br /> L20 VR 420 DIESEL ANNULAR ® ❑ <br /> L21 UNUSED ❑ ❑ <br /> L22 UNUSED ❑ ❑ <br /> L23 UNUSED ❑ ❑ <br /> L24 UNUSED ❑ ❑ <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 />