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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 /> L30 794380-208 Dispenser 11-12 <br /> L31 794380-208 Dispenser 13-14 ® M <br /> L32 794380-208 Dispenser 15-16 M M <br /> R 0 <br /> R M <br /> M M <br /> rl El <br /> 0 In <br /> 0 In <br /> 0 r] <br /> 0 0 <br /> 0 Fr <br /> 0 <br /> 0 <br /> 0 M <br /> 0 M <br /> 0 El <br /> 0 In <br /> 0 rl <br /> 0 r] <br /> 0 0 <br /> M <br /> M <br /> 0 <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 />