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Underground Storage Tanis <br />Monitoring System Certification Form <br />S. SENSOR TESTING RESULTS <br />List only sensors tested on date of this cerfrfreafion. List "Sen sor ID" as labeled in system <br />pi-ograrr ming. Additional copies of this page maybe attached to a ori modate all sensors tested - <br />Sensor 0 <br />Sensor Model omponent�s) Monitored <br />Pass <br />Fail <br />L-3 <br />208 <br />87 STP Surnp <br />® <br />97 <br />E <br />❑ <br />0 <br />8 <br />0 <br />El <br />0 <br />0 <br />0 <br />El <br />El <br />8 <br />El <br />0 <br />n <br />0 <br />a <br />� <br />0 <br />❑ <br />❑ <br />-El- <br />17 <br />17 <br />0 <br />L1 <br />0 <br />0 <br />ILI <br />Describe all answers marked " oo or "Fars" and proposed remedy in Section 9, <br />List all monitoring equipment either replaced or repaired in Section 9 <br />Page 3of6 <br />