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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 ID <br />Sensor Model Component(s) Monitored <br />Pass <br />Fail <br />® <br />0 <br />17 <br />® <br />In <br />® <br />97 <br />® <br />97 <br />® <br />v <br />® <br />T <br />® <br />v <br />17 <br />C <br />17 <br />1 El - <br />17 <br />R7 <br />r7 <br />97 <br />r <br />T7 <br />® <br />I <br />® <br />I <br />® <br />r,1 <br />17 <br />0 <br />® <br />El <br />17 <br />1 97 <br />® <br />r <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 />