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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 794380-303 SUP/DSL ANN 0 Li <br /> L2 794380-209 SUP STP SUMP ® Q <br /> L3 794380-209 SUP FILL SUMP ❑ Q <br /> L4 794380-303 REG ANN ❑✓_I Q <br /> L5 794380-209 REG STP SUMP 0 ❑ <br /> L6 794380-209 REG FILL SUMP 0 [� <br /> L7 794380-209 DSL STP SUMP 0 Lj <br /> L8 794380-209 DSL FILL SUMP ❑ <br /> L9 794380-208 VENT BOX ® Q <br /> L10 794380-208 DISP 1/2 ® Q <br /> L11 794380-208 DISP 3/4 ® Q <br /> L12 794380-208 DISP 5/6 �I Q <br /> L13 794380-208 DISP 7/8 0 Li <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ Q <br /> ❑ Q <br /> ❑ ❑ <br /> L) D <br /> D D <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ Q <br /> ❑ Q <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 />