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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 maybe attached to accommodate all sensors tested. <br /> Sensor ID Sensor Model Component(s) MonitoredPass Fail <br /> L1 794380-208 Rulstp 0 L] <br /> L2 794380-208 Rul fill <br /> L3 794380-303 Rut annular <br /> L4 794380-208 Pul stp _ — J <br /> L5 794380-208 Put fill <br /> L6 794380-208 Dal sip <br /> L7 794380-208 Dal fill <br /> L8 794380-303 Dsl put annular ® Ll <br /> L9 794380-208 Udc 1 /2 <br /> I <br /> L70794380-208 uclo <br /> L11 794380-208 Udc 5/6 0 D <br /> L12 794380-208 Udc 7/8 ® B <br /> L13 794380-208 Udc 9/10 ® J <br /> L14 794380-208 Udc/11 /12 ® Ll <br /> L15 794380-208 Ventbox ® L3 <br /> S9 330212-001 Rut product 0 ❑ <br /> S10 330212-001 Rut sumps a ❑ <br /> S11 330212-001 Rut vapor udc <br /> S12 330212-001 Put product tis <br /> S13 330212-001 Put sumps vac <br /> S14 330212-001 Put - Rut vents <br /> S15 330212401 Dsl product 0 Lj <br /> S16 330212-001 Dsl sumps <br /> S17 330212-001 Dslvent ❑ <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 />