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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 /> 1 VR 208 Disp 1-2 ❑ <br /> 2 VR 208 Disp 3-4 ❑ <br /> 3 VR 208 Disp 5-6 ❑ <br /> 4 VR 208 Disp 7-8 ❑ <br /> 5 VR 208 87 Stp I� ❑ <br /> 6 VR 420 87 Annular W ❑ <br /> 7 VR 208 91 Stp I� ❑ <br /> 8 VR 420 91 Annular W ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> El ❑ <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 />