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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 <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L,-3 <br />° <br />_5� <br />/Pve(aturn 1W016❑ <br />�.,n <br />° <br />-,VR <br />ntQ <br />❑ <br />-V9 <br />-- © <br />5� <br />❑ <br />.P r❑ <br />L --t3 <br />-jc <br />r <br />❑ <br />P <br />° <br />'� ..P <br />P T <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 />