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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 5. SENSOR TESTING RESULTS <br /> List only sensors fested 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 lD sensor Model Component(s) Monitored Pass Fail <br /> L1 794380-209 Supreme stp 0 0 <br /> L2 794380-209 Regular stp z 0 <br /> L3 794380-209 Dsl stp Z 0 <br /> L4 794380-209 Supreme fill ® El <br /> L5 794380-209 Regular fil 0 El <br /> L6 794380-209 Dsl.Fill 0 El <br /> L7 794380-303 Supreme/dsl annular Ij <br /> L8 794380-303 Regular annular Ij <br /> L9 794380-208 D 1/2 ® Lj <br /> L10 794380-208 ® Lj <br /> 111 794380-208 D 5/6 ® Lj <br /> L12 794380-208 D 7/8 Ij <br /> L13 794380-208 D 9/10 Ij <br /> L14 794380-208 D 11/12 <br /> L15 794380-208 D 13/14 <br /> L16 794380-208 D 15/16 <br /> S1 847990-001 Reg product <br /> S2 847990-001 Supreme product <br /> S3 847990-001 Dsl product <br /> S4 847990-001 Regular turbine <br /> S5 847990-001 Regular fill <br /> S6 847990-001 Supreme turbine ® El <br /> S7 847990-001 Supreme fill ® El <br /> S17 847990-001 Dsl turbine ® El <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 />