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Underground Storage Tank <br /> Monitoring System Certification Form <br /> G. +ENSOR TESTING RESULTS <br /> List only sensors tested on date of this certification, List `Sensor 1D" as labeled in system <br /> programming. Additional ciopies of this page may be attached to accommodate all sensors tested, <br /> Sensor lD Sensor Model Component(s) Monitored Pass FO <br /> L4 208 91 Fill Sump El <br /> El El <br /> _ 0 El <br /> a 17 <br /> Describe alt answers marked Wo or "Fail" and proposed rernedy in Section 9. <br /> List all monitorings equipment either replaced or repaired in Section: 9 <br /> Page 3 of 6 <br />