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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 Super STP ✓❑ ❑ <br /> L-2 794380-208 Regular STP ✓❑ ❑ <br /> L-3 794390-460 Super Annular ❑✓ ❑ <br /> L-4 794300-420 Regular Annular ✓❑ ❑ <br /> ❑ ❑ <br /> Float&Chain DISPENSER 1 &2 ❑✓ ❑ <br /> Float& Chain DISPENSER 3 &4 ✓❑ ❑ <br /> Float&Chain DISPENSER 5 & 6 ❑✓ El <br /> Float& Chain DISPENSER 7 & 8 ❑✓ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />