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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 /> S9 332175-001 87 Vacuum Product ® D <br /> S10 332175-001 87 Vent Vac ® ❑ <br /> S11 332175-001 91 Vacuum Product ® ❑ <br /> S12 332175-001 91 Vent Vac ® ❑ <br /> ❑ ❑ <br /> D ❑ <br /> ❑ D <br /> ❑ D <br /> ❑ D <br /> ❑ D <br /> ❑ D <br /> ❑ ❑ <br /> ❑ ❑ <br /> D ❑ <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 />