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Underground Storage Tank <br /> Monitoring SystO t Certification Form <br /> .: <br /> List only s+ rtsors tested on date t�f tests COf"'catran. List Sensor Was labeled in system <br /> prograrrrming. Additional copes of this gage may be attached to accon7mOdate all sensors tested, <br /> Sensor 10 Sensor Model Component(s) MorRitored passFall t <br /> _�,._._ _.,_._.__,,.�_. <br /> 4 <br /> gular f super annular <br /> L-2 208 <br /> regular stp m j <br /> L-3 - 21 ._.__ .._.__.. r <br /> _._ <br /> _. super s sump <br /> 208 disp # 1-2 <br /> L-9 208 Ldisp#3-4 � <br /> 208 <br /> L-11 <br /> 20 - _ <br /> __ , dlsp#7-8 <br /> cusp#9-1 0 _' <br /> 208 � � disp# 11-12 <br /> L-14 248 _ _ _ __...._w___. <br /> disp# 1 -14 r@ rj <br /> L-15.-..._ 208 disp # 15-16 � � _. _ <br /> r <br /> __...,....._r_.._............. <br /> . -...._ <br /> _r: L <br /> Q <br /> r i r <br /> rl <br /> in <br /> TE <br /> Describe alf ansWers marked "No"or Tail"and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or reuaiiad in Section s <br /> Page 3 of 6 <br />