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6 <br />Underground Storage Tank <br />!Monitoring System Certification Form <br />SENSOR TESTING RESULTS <br />List only sensors tested on date of airs certification. List "Sensor ID as labeled in system <br />Addltiona/ conies of this page may be attached to accorr modate al! sensors tested, <br />arnorammrn r?a <br />Sensor ID Sensor ModelComponent(s) Monitored I <br />L25 298 9110 <br />L26 304 9118 brine <br />L27 208 1111 <br />L8 304 11112 brine <br />S9 4631464 87 vac <br />Pass <br />❑ <br />Fail <br />In <br />0 <br />❑ <br />519 <br />4631464 <br />vapor vac <br />❑ <br />❑ <br />S11 <br />4631464 <br />91 vac <br />E <br />S12 <br />463 1464 <br />DSL vac <br />El <br />513 <br />4631464 64 <br />vent Frac <br />❑ <br />❑ <br />❑ <br />El <br />❑ <br />El <br />El <br />❑ <br />❑ <br />❑ <br />E <br />❑ <br />El <br />El <br />❑ <br />❑ <br />❑ <br />U3 <br />Describe all answers marked 'No ° or rc ail" arrd proposed remedy in Section 9 - <br />List all monitoring equipment either replaced or repaired in Section 9 <br />Page 3 o€6 <br />