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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 ID Sensor Model Component(s) Monitored Pass Fail <br /> L - 18 2 0 8 DISPENSER 1 / 2 0 ❑ <br /> L - 19 2 0 8 DISPENSER 3 / 4 El ❑ <br /> L - 20 2 0 8 DISPENSER 5 / 6 0 ❑ <br /> L - 21 2 0 8 DISPENSER 7 / 8 0 ❑ <br /> L - 22 2 0 8 DISPENSER 9 / 10 0 ❑ <br /> L - 23 2 0 8 DISPENSER 11 / 12 0 ❑ <br /> L - 24 2 0 8 DISPENSER 13 / 14 0 ❑ <br /> L - 25 2 0 8 DISPENSER 15 / 16 ID ❑ <br /> L - 26 2 0 8 DISPENSER 17 / 18 El ❑ <br /> L - 27 2 0 8 DISPENSER 19 / 20 0 ❑ <br /> L - 28 2 0 8 DISPENSER 28 / 29 0 ❑ <br /> L - 29 2 0 8 DISPENSER 30 / 31 0 ❑ <br /> L - 30 2 0 8 DISPENSER 32 / 33 El ❑ <br /> L - 31 2 0 8 DISPENSER 34 / 35 El ❑ <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 3 of 6 <br />