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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 794390-420 / N /A Annular 0 ❑ <br /> L2 794380-208 / 515978 Fill / Piping Sump 0 ❑ <br /> L3 794380-208 / 515989 Vent Sump 0 ❑ <br /> L4 794380-208 / 1076768 Transition Sump ❑✓ ❑ <br /> L5 794390-420 / 1504121 Inside Piping Tray ❑✓ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />