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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 794380-303 REGULAR ANNULAR ✓❑ ❑ <br /> L-2 794380-303 PREM-DIESEL ANNULAR ✓❑ ❑ <br /> L-3 794380-304 REGULAR STP BRINE ❑✓ ❑ <br /> L-4 794380-208 VENT SUMP ✓❑ ❑ <br /> L-5 794380-304 PREMIUM STP BRINE ✓❑ ❑ <br /> L-6 794380-304 PREMIUM FILL BRINE ❑✓ ❑ <br /> L-7 794380-304 DIESEL STP BRINE ✓❑ ❑ <br /> L-8 794380-304 DIESEL FILL BRINE ✓❑ ❑ <br /> L-9 794380-208 REGULAR STP SUMP ❑✓ ❑ <br /> L-10 794380-304 VENT BRINE ✓❑ ❑ <br /> L-11 794380-208 PREMIUM STP SUMP ❑✓ ❑ <br /> L-12 794380-208 PREMIUM FILL SUMP ✓❑ ❑ <br /> L-13 794380-208 DIESEL STP SUMP ✓❑ ❑ <br /> L-14 794380-208 DIESEL FILL SUMP ❑✓ ❑ <br /> L-15 794380-304 REGULAR FILL BRINE ❑✓ ❑ <br /> L-16 794380-208 REGULAR FILL SUMP ❑✓ ❑ <br /> L-17 794380-304 DISP 1-2 BRINE ✓❑ ❑ <br /> L-18 794380-304 DISP 5-6 BRINE ✓❑ ❑ <br /> L-19 794380-304 DISP 9-10 BRINE ✓❑ ❑ <br /> L-20 794380-304 DISP 3-4 BRINE ❑✓ ❑ <br /> L-21 794380-304 DISP 7-8 BRINE ✓❑ ❑ <br /> L-22 794380-304 DISP 11-12 BRINE ❑✓ ❑ <br /> L-23 794380-208 DISP 1-2 SUMP ✓❑ ❑ <br /> L-24 794380-208 DISP 5-6 SUMP ✓❑ ❑ <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 />