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Underground Storage Tank <br />Monitoring System Certification Form <br />16. 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 <br />Sensor Model Component(s) Monitored <br />Pass <br />Fail <br />L1 <br />0794380-409 <br />87 ANN <br />171 <br />r] <br />L2 <br />0794380-208 <br />87 STP <br />0✓ <br />0 <br />L3 <br />0794380-409 <br />91 ANN <br />�✓ <br />L4 <br />0794380-208 <br />91 STP <br />L5 <br />0794380-409 <br />DIE ANN <br />2✓ <br />ri <br />L6 <br />0794380-208 <br />DIE STP <br />0 <br />ri <br />0 <br />r <br />0 <br />0 <br />0 <br />0 <br />in <br />0 <br />0 <br />0 <br />r <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />in <br />0 <br />0 <br />in <br />in <br />0 <br />Lnjl <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 />