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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 0794380-352 Supreme STP 171 r] <br /> L2 0794380-352 Regular 1 STP 0 <br /> L3 0794380-352 Regular 2 STP �✓ <br /> L4 0794390-409 Supreme annular <br /> L5 0794390-409 Regular 1 annular 0✓ ri <br /> L6 0794390-409 Regular 2 annular 0 ri <br /> L7 0794380-208 Supreme fill ®✓ ri <br /> L8 0794380-208 Regular 1 fill Q <br /> L9 0794380-208 Regular 2 fill �✓ <br /> L10 0794380-208 Disp 1-2 �✓ <br /> L11 0794380-208 Disp 3-4 �✓ <br /> L12 0794380-208 Disp 5-6 �✓ <br /> L13 0794380-208 Disp 7-8 0✓ Q <br /> L14 0794380-208 Disp 9-10 <br /> L15 0794380-208 Disp 11-12 0✓ <br /> 0 <br /> 0 <br /> 0 <br /> 0 <br /> 0 � <br /> 0 0 <br /> r] El <br /> r] r] <br /> 0 <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 />