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Underground Storage Tank <br /> Monitoring System Certification Form <br /> S. 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 ID Sensor Model Component(s) Monitored Pass Fail <br /> L25 208 9/10 <br /> L26 304 9/10 brine <br /> L27 208 11/12 <br /> L28 304 11/12 brine <br /> S9 463 87 vac <br /> S10 463 vaporvac <br /> S11 463 91 vac <br /> S12 463 DSL vac M M <br /> S13 463 vent vac M M <br /> ® M <br /> 17 Ir <br /> 17 r <br /> F7 El <br /> ® M <br /> ® M <br /> ® M <br /> ® M <br /> ® M <br /> M 0 <br /> 17 r <br /> ® M <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 />