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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 lD" as labeled in system <br />programming. Additional copies of this page maybe 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 annular <br />0 <br />El <br />L2 <br />794380-208 <br />Hp sump <br />® <br />Li <br />L3 <br />794380-208 <br />1-5 hp sump <br />® <br />Ll <br />L4 <br />794390-430 <br />Dispenser pan <br />z <br />Ll <br />Ll <br />Ll <br />Ll <br />Ll <br />L] <br />Ll <br />Ll <br />Ll <br />El <br />El <br />El <br />El <br />Ll <br />Ll <br />Ll <br />Ll <br />L] <br />Ll <br />Ll <br />L) <br />L] <br />L] <br />L] <br />L] <br />® <br />L] <br />Ll <br />Ll <br />Ll <br />D <br />L) <br />L) <br />L) <br />Li <br />Li <br />® <br />L] <br />Ll <br />Ll <br />Describe all answers marked "No" or "Fail' and proposed remedy +'r Section 9. <br />List all monitoring equipment either replaced or repaired in Section 9 <br />Page 3of6 <br />