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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 ID Sensor Model Component(s) Monitored Pass Fail <br /> L1 VR 794380-208 Dispenser 1-2 ✓❑ ❑ <br /> L2 VR 794380-208 Dispenser 3-4 ❑✓ ❑ <br /> L3 VR 794380-208 Dispenser 5-6 ❑✓ ❑ <br /> L4 VR 794380-208 Dispenser 7-8 ✓❑ ❑ <br /> L5 VR 794380-208 Dispenser 9-10 ✓❑ ❑ <br /> L6 VR 794380-208 Dispenser 11-12 ❑✓ ❑ <br /> L7 VR 794380-208 Dispenser 13-14 ✓❑ ❑ <br /> L8 VR 794380-208 Dispenser 15-16 ❑✓ ❑ <br /> L9 VR 794390-460 87 Annular ❑✓ ❑ <br /> L10 VR 794390-460 91-Diesel Annular ❑✓ ❑ <br /> 1_11 VR 794380-208 87 STP Sump ❑✓ ElL12 VR 794380-208 91 STP Sump z ❑ <br /> L13 VR 794380-208 Diesel STP Sump ❑✓ ❑ <br /> L14 VR 794380-208 87 Fill Sump ✓❑ ❑ <br /> L15 VR 794380-208 91 Fill Sump ❑✓ ❑ <br /> L16 VR 794380-208 Diesel Fill Sump ❑✓ ❑ <br /> L17 VR 794380-208 Vent Sump ❑✓ ❑ <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 />