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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 Sensor Model Component(s) Monitored Pass Fail <br /> L 17 208 21 M 22SAT 0 ❑ <br /> L 18 208 17 SAT 0 ❑ <br /> L 19 208 24 MAIN ✓❑ ❑ <br /> L 20 208 17 18 SAT ❑✓ ❑ <br /> L 21 208 23M 24 SAT 0 ❑ <br /> L 22 208 18M 19 SAT 0 ❑ <br /> L 23 208 22M 23 SAT ❑✓ ❑ <br /> L 25 208 TRANS SUMP ✓❑ ❑ <br /> L 26 420 AST 3 ANNULAR SPACE 0 ❑ <br /> L 27 420 DEF ANNULAR 0 ❑ <br /> L 28 208 DEF SUMP ❑✓ ❑ <br /> L 29 420 AST 2 ANNULAR ❑✓ ❑ <br /> L 30 420 AST 1 ANNULAR 0 ❑ <br /> L 31 208 19 20 SATED ❑ <br /> L 32 208 20 21 SAT ❑✓ ❑ <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 />