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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 /> L25 208 Disp 9-10 0 ❑ <br /> L26 304 Disp 9-10 brine 0 ❑ <br /> L27 208 Disp 11-12 0 ❑ <br /> L28 304 Disp 11-12 brine 0 ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> S1 463 87 prod 0 ❑ <br /> S2 463 87 sump 0 ❑ <br /> S3 463 87 ann 0 ❑ <br /> S4 463 91 prod 0 ❑ <br /> S5 463 91 vent/STP sump 0 ❑ <br /> S6 463 Die ann 0 ❑ <br /> S7 463 Vapor line UDCs 0 ❑ <br /> S9 463 Die prod 0 ❑ <br /> S15 463 Die vent sump 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 3 of 6 <br />