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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 /> L25 794380-208 DSIP 9/10 UDC 0 ❑ <br /> L26 794380-304 DISP 9/10 Brine 0 ❑ <br /> L27 794380-208 DISP 11/12 UDC 0 ❑ <br /> L28 794380-304 DSIP 11/12 Brine 0 ❑ <br /> ❑ ❑ <br /> S1 330020-463/464 87 PROD 0 ❑ <br /> S2 330020-463/464 87 Vent 0 ❑ <br /> S3 330020-463/464 87 Vapor 0 ❑ <br /> S4 330020-463/464 91 PROD 0 ❑ <br /> S5 330020-463/464 91 Vent 0 ❑ <br /> S6 330020-463/464 DSL PROD 0 ❑ <br /> S7 330020-463/464 DSL VENT 0 ❑ <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 3of5 <br />