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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 /> L1 794390-420/N/A Annular ❑✓ ❑ <br /> L2 794380-208/917920 Fill Sump ❑✓ ❑ <br /> L3 794380-208/675659 Middle Sump ✓❑ ❑ <br /> L4 794380-208/794948 Piping Sump ❑✓ ❑ <br /> L5 794380-208/784715 Supply Line Trans Box ✓❑ ❑ <br /> L6 794380-208/775641 Return Line Trans Box ❑✓ ❑ <br /> L7 794380-208/882703 Pump Pan Sensor ❑✓ ❑ <br /> L8 794380-208/907192 Transition Box Outside ❑✓ ❑ <br /> L9 794390-420/950414 High level TNK006 Gen 1 ❑✓ ❑ <br /> L10 794390-420/922325 High level TNK005 Gen 2 ✓❑ ❑ <br /> L11 794380-208/941676 Gen 1 TNKA006 Floor ❑✓ ❑ <br /> L12 794380-208/927249 Gent TNKA005 Floor ❑✓ ❑ <br /> L13 794380-208/927275 Secondary Pipe Roof ✓❑ ❑ <br /> C1 794380-344/995867 Annular ❑✓ ❑ <br /> C2 794380-344/995705 Annular ❑✓ ❑ <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 3 of 6 <br />