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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 ID Sensor Model Component(s) Monitored Pass Fail <br /> L1 0794380 =352 91 STP <br /> L2 0794380 =352 87 = 1 STP <br /> L3 0794380 =352 87 -2 STP 0 <br /> L4 0794390 =409 91 Annular P1 ri <br /> L5 0794390409 87 = 1 Annular ® ri <br /> L6 0794390 =409 87 =2 Annular ® In <br /> L7 0794380 =208 91 Fill M ri <br /> L8 0794380 =208 87 = 1 Fill <br /> L9 0794380 =208 87 =2 Fill ® ri <br /> L10 0794380 =208 Disp 1 =2 11 <br /> L11 0794380 -208 Disp 3 =4 El <br /> L12 0794380 -208 Disp 5 =6 <br /> L13 0794380 =208 Disp 7 =8 <br /> L14 0794380 =208 Disp 9 - 10 ® ri <br /> L15 0794380 =208 Disp 11 = 12 ® r] <br /> © rl <br /> ® 0 <br /> ® r <br /> ri rl <br /> T Ell <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 />