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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 cerfiflcation. List "Sensor!D"as labeled in system <br /> programming. Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor fD Sensor Model iComponent(s) Monitored Pass Fail <br /> S1 VR 463/464 Regular Product 19 ❑ <br /> VR 4631464 Vapor/Chase 0 ❑ <br /> S3 VR 4631464 !lent Lines 0 ❑ <br /> 4 VR 4631464 Premium Product ® ❑ <br /> 5 VR 4631"4 Diesel Product N ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> 0 ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ I ❑ <br /> ❑ ❑ <br /> ❑ a <br /> 11 <br /> 1 o <br /> 0 ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> - ❑ n <br /> - - ❑ n <br /> Descrr'be a!f arrs�vers arfced "`fro"or "Fa��„arrd proposed r�emer� rr� e�tiora 9. <br /> List all monitofing equipment either replaced or repaired in Section 9 <br /> Page 3 of 6 <br />