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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 794380-208 Regular STP Sump ✓❑ ❑ <br /> L2 794380-208 Premium STP Sump ✓❑ ❑ <br /> L3 794380-208 Diesel STP Sump ❑✓ ❑ <br /> L4 794390-460 Regular Annular ✓❑ ❑ <br /> L5 794390-460 Premium-Diesel Annular ✓❑ ❑ <br /> L6 794380-208 Vent Box ❑✓ ❑ <br /> L7 794380-208 Dispenser 1 /2 UDC ✓❑ ❑ <br /> L8 794380-208 Dispenser 3/4 UDC ❑✓ ❑ <br /> L9 794380-208 Dispenser 5/6 UDC ❑✓ ❑ <br /> L10 794380-208 Dispenser 7/8 UDC ✓❑ ❑ <br /> L11 794380-208 Dispenser 9/10 UDC ❑✓ ❑ <br /> L12 794380-208 Dispenser 11 / 12 UDC ❑✓ ❑ <br /> L13 794380-208 Dispenser 13/ 14 UDC ✓❑ ❑ <br /> L14 794380-208 Dispenser 15/ 16 UDC ❑✓ ❑ <br /> L15 794380-208 Dispenser 17/ 18 UDC ❑✓ ❑ <br /> L16 794380-208 Dispenser 19/20 UDC ❑✓ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ fEl❑ <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 />