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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 iabeled in system <br />programming. Additional copies of this page may be attached to accommodate all sensors tested. <br />Sensor lD <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />794390-420 <br />DSL ANN. <br />R] <br />D <br />L2 <br />794380-205 <br />5 HP SUMP <br />Q <br />L3 <br />794380-205 <br />1-5 HP SUMP <br />Q <br />L4 <br />794390-420 <br />DISPN. PAN <br />Z <br />LJ <br />El <br />El <br />El <br />Q <br />Lj <br />Lj <br />® <br />Q <br />❑I <br />Q <br />i <br />I � <br />Q <br />Q <br />Q <br />D <br />El <br />L1 <br />0 <br />LJ <br />Q <br />0 <br />Li <br />11 <br />D <br />Lj <br />D <br />Lj <br />D <br />El <br />Q <br />Lj <br />Li <br />L] <br />Q <br />L <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 />