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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/D Sensor Model Component(s) Monitored Pass Fail <br /> L1 VR 208 Dispenser 1-2 N ❑ <br /> L2 VR 304 Dispenser 1-2 Brine N ❑ <br /> L3 VR 208 Dispenser 3-4 N ❑ <br /> L4 VR 304 Dispenser 3-4 Brine N ❑ <br /> L5 VR 208 Dispenser 5-6 N ❑ <br /> L6 VR 304 Dispenser 5-6 Brine N ❑ <br /> L7 VR 208 Dispenser 7-8 N ❑ <br /> L8 VR 304 Dispenser 7-8 Brine N ❑ <br /> L9 VR 303 Regular Annular N ❑ <br /> L10 VR 303 Diesel/Premium Annular N ❑ <br /> 1-11 VR 208 Vent Box N ❑ <br /> L12 VR 304 Vent Box Brine N ❑ <br /> L13 VR 208 Regular STP N ❑ <br /> L14 VR 304 Regular STP Brine N ❑ <br /> L15 VR 208 Regular Fill N ❑ <br /> L16 VR 304 Regular Fill Brine N ❑ <br /> L17 VR 208 Premium STP N ❑ <br /> L18 VR 304 Premium STP Brine N ❑ <br /> L19 VR 208 Premium Fill N ❑ <br /> L20 VR 304 Premium Fill Brine N ❑ <br /> L21 VR 208 Diesel STP N ❑ <br /> L22 VR 304 Diesel STP Brine N ❑ <br /> L23 VR 208 Diesel Fill N ❑ <br /> L24 VR 304 Diesel Fill Brine N ❑ <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 />