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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 6. SENSOR TESTING RESULTS - AB March Lane 11-2-23 ADDITONAL PAGE LARGE SENSOR SITE <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 Sensor Model Component(s) Monitored Pass Fail <br /> L 25 208 DIESEL FILL SUMP 0 ❑ <br /> L 26 304 DIESEL FILL SUMP BRINE 0 ❑ <br /> ❑ ❑ <br /> S 1 VAC 87 PRODUCT LINE 0 ❑ <br /> S 2 VAC 87 ANNULAR SPACE 0 ❑ <br /> S 3 VAC 87 VENT LINE 0 ❑ <br /> S 4 VAC 91 PRODUCT LINE - VENT 0 ❑ <br /> S 5 VAC DIESEL 91 ANNULAR SPACE 0 ❑ <br /> S 6 VAC DIESEL PRODUCT LINE - VENT 0 ❑ <br /> ❑ ❑ <br /> ❑ 0 <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 />