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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/D"as labeled in system programming. <br /> 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 794380-208 DISPENSER 1&2 x ❑ <br /> L2 794380-208 DISPENSER 3&4 x ❑ <br /> L3 794380-208 DISPENSER 5&6 x ❑ <br /> L4 794380-208 DISPENSER 7&8 X ❑ <br /> L9 794380-208 REGULAR STP 2 SUMP x ❑ <br /> L10 794380-208 REGULAR FILL 2 SUMP x ❑ <br /> L11 794390-409 REGULAR ANNULAR 2 x ❑ <br /> L12 794380-208 REGULAR STP 1 SUMP x ❑ <br /> L13 794380-208 REGULAR FILL 1 SUMP x ❑ <br /> L14 794390-409 REGULAR ANNULAR 1 x ❑ <br /> L15 794380-208 SUPER STP SUMP x ❑ <br /> L16 794380-208 SUPER FILL SUMP x ❑ <br /> L17 794390-409 SUPER ANNULAR x ❑ <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 />