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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 /> L-1 VR-208 T-1 B20 STP Sump M ❑ <br /> L-2 VR-420 T-1 B20 Annular M ❑ <br /> L-3 VR-208 UDC #3-4 M ❑ <br /> L-4 VR-208 UDC#1 Sat M ❑ <br /> L-5 VR-208 UDC #1-2 M ❑ <br /> L-6 VR-208 UDC Satilite #2-3 M ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 /> 7. LINE LEAK DETECTOR TESTING <br /> Page 3 of 6 <br />