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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 Component(s) Monitored <br />Pass <br />S8 <br />420 <br />15/16 <br />S17 <br />463/464 <br />87 product <br />S18 <br />463/464 <br />87 / 91 vapor <br />S19 <br />463/464 <br />87 vent <br />S20 <br />463/464 <br />91 product <br />S21 <br />463/464 <br />91 vent <br />S22 <br />463/464 <br />DSL product <br />S23 <br />463/464 <br />DSL vent <br />ri <br />17 <br />ri <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 />L <br />Un <br />011 <br />V <br />Q <br />Page 3 of 6 <br />