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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 Vr 794380-208,794380-304 Dispenser 1-2 ✓❑ ❑ <br /> L2 Vr 794380-208,794380-304 Dispenser 3-4 ✓❑ ❑ <br /> L3 Vr 794380-208,794380-304 Dispenser 5-6 ❑✓ ❑ <br /> L4 Vr 794380-208,794380-304 Dispenser 7-8 ✓❑ ❑ <br /> L5 Vr 794380-208,794380-304 Dispenser 9-10 ✓❑ ❑ <br /> L6 Vr 794380-208,794380-304 Dispenser 11-12 z ❑ <br /> L7 Vr 794380-208,794380-304 87 STP SUMP ✓❑ ❑ <br /> L8 Vr 794380-208,794380-304 87 FILL SUMP ❑✓ ❑ <br /> L9 Vr 794380-303 87 ANNULAR ❑✓ ❑ <br /> L10 Vr 794380-208,794380-304 91 STP SUMP ✓❑ ❑ <br /> L11 Vr 794380-208,794380-304 91 FILL SUMP ❑✓ ❑ <br /> L12 Vr 794380-208,794380-304 DIESEL STP SUMP ❑✓ ❑ <br /> L13 Vr 794380-208,794380-304 DIESEL FILL SUMP ✓❑ ❑ <br /> L14 Vr 794380-303 91-DIESEL ANNULAR ❑✓ ❑ <br /> L15 Vr 794380-208,794380-304 VENT SUMP ❑✓ ❑ <br /> ❑ ❑ <br /> S9 Vr 330020-463,330020-464 REGULAR PRODUCT LINE ❑✓ ❑ <br /> S10 Vr 330020-463,330020-464 VAPOR SECONDARY ✓❑ ❑ <br /> S11 Vr 330020-463,330020-464 PREMIUM PRODUCT LINE ❑✓ ❑ <br /> S12 Vr 330020-463,330020-464 ALL VENTS SECONDARY ❑✓ ❑ <br /> S13 Vr 330020-463,330020-464 DIESEL PRODUCT LINE ❑✓ ❑ <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 />