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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 /> L-1 794380-208 REGULAR STP SUMP ✓❑ ❑ <br /> L-2 794380-208 PREMIUM STP SUMP ✓❑ ❑ <br /> L-3 794380-208 DIESEL STP SUMP ❑✓ ❑ <br /> L-4 794390-460 REGULAR ANNULAR ✓❑ ❑ <br /> L-5 794390-460 PREM-DIESEL ANNULAR ✓❑ ❑ <br /> L-6 794380-208 VENT BOX ❑✓ ❑ <br /> L-7 794380-208 DISPENSER 1-2 UDC ✓❑ ❑ <br /> L-8 794380-208 DISPENSER 3-4 UDC ❑✓ El <br /> L-9 794380-208 DISPENSER 5-6 UDC ❑✓ ❑ <br /> L-10 794380-208 DISPENSER 7-8 UDC ✓❑ ❑ <br /> L-11 794380-208 DISPENSER 9-10 UDC ❑✓ ❑ <br /> L-12 794380-208 DISPENSER 11-12 UDC ❑✓ ❑ <br /> L-13 794380-208 DISPENSER 13-14 UDC ✓❑ ❑ <br /> L-14 794380-208 DISPENSER 15-16 UDC ❑✓ ❑ <br /> L-15 794380-208 DISPENSER 17-18 UDC ❑✓ ❑ <br /> L-16 794380-208 DISPENSER 19-20 UDC ❑✓ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 3of6 <br />