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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 ID Sensor Model Component(s) Monitored Pass Fail <br /> L1 794380-208/794380-304 Vent Box ❑✓ ❑ <br /> L5 Vr 794380-303 Regular Annular ❑✓ ❑ <br /> L6 794380-208/794380-304 Regular Fill Liquid and Brine ❑✓ ❑ <br /> L7 794380-208/794380-304 Regular STP liquid and Brine ❑✓ ❑ <br /> L8 Vr 794380-303 Premium - Diesel Annular ❑✓ ❑ <br /> L9 794380-208/794380-304 Premium STP liquid and Brine ❑✓ ❑ <br /> L10 794380-208/794380-304 Premium Fill liquid and Brine ❑✓ ❑ <br /> L11 794380-208/794380-304 Diesel STP Liquid and Brine ❑✓ ❑ <br /> L12 794380-208/794380-304 Diesel Fill Liquid and Brine ❑✓ ❑ <br /> L13 794380-208/794380-304 Dispenser 1-2 Liquid and Brine ❑✓ ❑ <br /> L14 794380-208/794380-304 Dispenser 3-4 Liquid and Brine ❑✓ ❑ <br /> L15 794380-208/794380-304 Dispenser 5-6 Liquid and Brine ❑✓ ❑ <br /> L16 794380-208/794380-304 Dispenser 7-8 Liquid And Brine ❑✓ ❑ <br /> L17 794380-208/794380-304 Dispenser 9-10 Liquid and Brine ❑✓ ❑ <br /> L18 794380-208/794380-304 Dispenser 11-12 Liquid and Brine ❑✓ ❑ <br /> L19 794380-208/794380-304 Dispenser 13-14 Liquid and Brine ❑✓ ❑ <br /> L20 794380-208/794380-304 Dispenser 15-16 Liquid and Brine ❑✓ ❑ <br /> S2 330020-463/330020-464 Premium Chase Vac ❑✓ ❑ <br /> S3 330020-463/330020-464 Diesel Chase Vac ❑✓ ❑ <br /> S10 330020-463/330020-464 Regular Product Vac ❑✓ ❑ <br /> S11 330020-463/330020-464 Regular Chase Vac ❑✓ ❑ <br /> S12 330020-463/330020-464 Vapor Return 87 Vac ❑✓ ❑ <br /> S13 330020-463/330020-464 Premium Product Line Vac ❑✓ ❑ <br /> S14 330020-463/330020-464 Premium Vent Regular Vent Vac ❑✓ ❑ <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 />