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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 /> L-14 794380-208 DISP.11-12 0 ❑ <br /> L-14 794380-304 DISP.11-12 0 ❑ <br /> L-15 794380-208 VENT BOX ® ❑ <br /> L-15 794380-304 VENT BOX ® ❑ <br /> S-1 330020-464 91 Product vac ® ❑ <br /> S-2 330020-464 91 Vent Vac ® ❑ <br /> S-3 330020-464 87 Product Vac ® ❑ <br /> S-4 330020-464 87 Vent Vac ® ❑ <br /> S-5 330020-464 87 Vapor Vac ® ❑ <br /> S-6 330020-464 Diesel Product Vac ® ❑ <br /> S-7 330020-464 Diesel Vent Vac ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />