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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 6. SENSOR TIES TING RESULTS <br /> List only sensors tested on date of this certification. List "Sensor 0" as labeled in system <br /> programmin Additional copies of this page may be attached to accommodate all sensors tested. <br /> Sensor 10 Sensor Model Component(s) Monitored Vass Fail <br /> L.4 304 91 - Fill Annular Brine E rl <br /> El El <br /> � 0 <br /> El 0 <br /> � 0 <br /> � 0 <br /> 0 <br /> r <br /> '1J <br /> � LJ <br /> El <br /> Describe all answers marked "No" or "Fail"aad proposed remedy in Section 9- <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 3of6 <br />