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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 VR-208 T-1 87 STP N ❑ <br /> L-2 VR-208 T-2 Diesel STP N ❑ <br /> L-3 VR-208 T-3 91 STP N ❑ <br /> L-4 VR-208 T-4 E-85 STP ® ❑ <br /> L-6 VR-409 T-1 87 / T-3 91 Tank Annular ® ❑ <br /> L-9 VR-208 Disp. #1-2 ® ❑ <br /> L-10 VR-208 Disp. #3-4 ® ❑ <br /> L-11 VR-208 Disp. #5-6 ® ❑ <br /> L-12 VR-208 Disp. #7-8 ® ❑ <br /> L-13 VR-323 Disp. #9-10 ® ❑ <br /> C-1 VR-345 T-2 Diesel / T-4 E-85 Annular ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 3 of 6 <br />