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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 1D Sensor Model Component(s) Monitored Pass Fail <br /> L1 857390-102 87 STP ® ❑ <br /> L2 857390-102 87 FILL ® ❑ <br /> L3 857390-102 91 STP ® ❑ <br /> L4 857390-102 91 FILL ® ❑ <br /> L5 857390-102 DSL STP ® ❑ <br /> L6 857390-102 DSL FILL ® ❑ <br /> L7 857390-102 E85 STP ® ❑ <br /> L8 857390-102 E85 FILL ® ❑ <br /> L9 794380-303 871E85 ANN 0 ❑ <br /> L10 794380-303 91/DSL ANN ® El <br /> L11 857390-102 VENT BOX ® ❑ <br /> L12 857390-102 13114 ® 13 <br /> L13 857390-102 15116 0 ❑ <br /> L14 857390-102 9110 ® 0 <br /> L15 857390-102 11112 ® ❑ <br /> L16 857390-102 516 0 p <br /> L17 857390-102 718 ® ❑ <br /> L18 857390-102 112 ® 0 <br /> L19 857390-102 314 ® ❑ <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 />