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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 87-91 ANNULAR (SPLIT TANK) ❑✓ ❑ <br /> L2 794380-208 87 FILL SUMP ❑✓ ❑ <br /> L3 794380-304 87 FILL HYDRO ❑ <br /> L4 794380-208 91 FILL SUMP 0✓ ❑ <br /> L5 794380-304 91 FILL HYDRO ✓� ❑ <br /> L6 794380-208 87 STP SUMP 0✓ ❑ <br /> L7 794380-304 87 STP HYDRO 191 ❑ <br /> L8 794380-208 91 STP SUMP F✓ ❑ <br /> L9 794380-304 91 STP HYDRO 0✓ ❑ <br /> L10 794380-208 VENTBOX I ❑ <br /> L11 794380-304 VENTBOX HYDRO F ❑ <br /> L12 794380-208 DISP 1-2 UDC 191 ❑ <br /> L13 794380-304 DISP 1-2 UDC HYDRO IF1 ❑ <br /> L14 794380-208 DISP 3-4 UDC 0✓ ❑ <br /> L15 794380-304 DISP 3-4 UDC HYDRO ✓0 ❑ <br /> L16 794380-208 DISP 5-6 UDC (✓ ❑ <br /> L17 794380-304 DISP 5-6 UDC HYDRO 191 ❑ <br /> L18 794380-208 DISP 7-8 UDC ✓� ❑ <br /> L19 794380-304 DISP 7-8 UDC HYDRO 0✓ ❑ <br /> L20 794380-208 DISP 9-10 UDC ❑✓ ❑ <br /> L21 794380-304 DISP 9-10 UDC HYDRO I✓ ❑ <br /> L22 794380-208 DISP 11-12 UDC 0✓ ❑ <br /> L23 794380-304 DISP 11-12 UDC HYDRO 0✓ ❑ <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 />