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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 maybe attached to accommodate all sensors tested. <br />Sensor lD <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />S-1 <br />330020-463 <br />rul prod <br />® <br />U <br />s-2 <br />330020-463 <br />rul sumps <br />® <br />0 <br />s-3 <br />330020-463 <br />vaporudcs <br />® <br />Ll <br />s-4 <br />330020-463 <br />pul prod <br />® <br />Lj <br />s-5 <br />330020-463 <br />pul sumps <br />® <br />Li <br />s-6 <br />330020-463 <br />pul-rul vents <br />® <br />Lj <br />s-7 <br />330020-463 <br />diesel prod <br />® <br />L] <br />s-9 <br />330020-463 <br />diesel sump <br />® <br />Ll <br />S-10 <br />330020-463 <br />vent-ventbox <br />® <br />L) <br />0 <br />L] <br />L1 <br />0 <br />2 <br />0 <br />D <br />D <br />L) <br />L) <br />Ll <br />Lj <br />Ll <br />Lj <br />0 <br />Ij <br />2 <br />U <br />L) <br />D <br />Ll <br />Ll <br />Ll <br />Ll <br />Lj <br />Lj <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 />