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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 l.D Sensor Model Component(s) Monitored Pass Fail <br /> L1 794380-303 RUL.ANNULAR 0 ❑ <br /> L2 794380-208 RUL.STP SUMP Z ❑ <br /> L3 794380-303 PREM.ANNULAR ® ❑ <br /> L4 794380-208 PREM.STP SUMP 0 ❑ <br /> L5 794380-208 RUL.FILL SUMP <br /> L6 794380-208 PREM.FILL SUMP <br /> L7 794380-208 DISPN.1-2 ® ❑ <br /> L8 794380-208 DISPN.3-4 ® ❑ <br /> L9 794380-208 VENT BOX ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ n <br /> n <br /> ❑ n <br /> D n <br /> ❑ Q <br /> ❑ Q <br /> ❑ Q <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 />