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Underground Storage Tarok <br />Monitoring System Certification Form <br />S. 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 <br />Sensor ModelComponent(s) Monitored <br />Pass <br />Fail <br />Li <br />VR 420 <br />Diesel Annular <br />0 <br />❑ <br />L2 <br />VR 208 <br />Diesel STP Sunup <br />0 <br />❑ <br />L3 <br />VR 208 <br />Premium Fill Sump <br />® <br />El <br />L4 <br />VR 208 <br />Premium STP Sump <br />® <br />a <br />1-8 <br />VIS 420 Regular Annular <br />® <br />❑ <br />L6 <br />VR 208 Regular Fill Sump <br />N <br />❑ <br />L7 <br />VR 208 <br />regular STP Sump <br />0 <br />0 <br />L9 <br />VR 208 <br />Dispenser 1-2 <br />z ❑ <br />L10 <br />VR 208 <br />Dispenser 3-4 <br />® <br />❑ <br />L11 <br />VR 208 <br />Dispenser 8-6 <br />® <br />❑ <br />L12 <br />VR 208 <br />Dispenser 7-8 <br />® <br />❑ <br />L13 <br />VR 208 <br />Dispenser 9-10 <br />❑ <br />r.14 <br />VR 208 <br />Dispenser 11-1 <br />p <br />❑ <br />❑ <br />❑ <br />❑ <br />© <br />❑ <br />0 <br />❑ <br />❑ <br />❑ <br />Q <br />❑ <br />❑ <br />❑ <br />M <br />❑ <br />❑ <br />❑ <br />Describe all answers marked c" or "Faiir acrd proposed remedy in Section 9. <br />List all monitoring equipment either replaced or repaired in Section 9 <br />Page 3 of <br />