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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 /> L1 VR 794390 420 ANNULAR 87/91 ✓❑ ❑ <br /> L2 VR 794380 208 STP SUMP 91 ✓❑ ❑ <br /> L3 VR 794380 208 FILL SUMP 91 ❑✓ ❑ <br /> L4 VR 794380 208 FILL SUMP 87 ✓❑ ❑ <br /> L5 VR 794380 208 DISPENSER 1 &2 ✓❑ ❑ <br /> L6 VR 794380 208 STP SUMP 87 ❑✓ ❑ <br /> L7 VR 794380 208 DISPENSER 3 &4 ✓❑ ❑ <br /> L8 VR 794380 208 DISPENSER 5 & 6 ❑✓ El <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 /> Page 3of6 <br />