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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 /> L-1 208 304 87 STP 0 ❑ <br /> L-2 208 304 87 FILL ❑ <br /> L-3 303 87 ANNULAR D ❑ <br /> L-4 208 304 91 STP 0 ❑ <br /> L-5 208 304 91 FILL 0 ❑ <br /> L-6 303 91 AN N U LAR 0 ❑ <br /> L-7 208 304 DISP 1-2 0 ❑ <br /> L-8 208 304 DISP 3-4 0 ❑ <br /> L-9 208 304 DISP 5-6 0 ❑ <br /> L-10 208 304 DISP 7-8 0 ❑ <br /> L-11 208 304 DISP 9-10 0 ❑ <br /> L-12 208 304 DISP 11-12 0 ❑ <br /> L-13 208 304 VENT BOX 0 ❑ <br /> S-9 001 87 PRODUCT VAC 0 ❑ <br /> S-10 001 VENT VAC 0 ❑ <br /> S-11 001 VAPOR VAC 0 ❑ <br /> S-12 001 91 PRODUCT VAC 0 ❑ <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 />