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Underground Storage Tank <br />Monitoring System Certification Form <br />16. 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 lD <br />Sensor Model Component(s) Monitored <br />Pass <br />Fail <br />L25 <br />0794380-304 <br />Disp 5-6 brine <br />171 <br />r] <br />L26 <br />0794380-304 <br />Disp 7-8 brine <br />r] <br />L27 <br />0794380-304 <br />Disp 9-10 brine <br />0✓ <br />Q <br />L28 <br />0794380-304 <br />Disp 11-12 brine <br />S1 <br />332175-001 <br />UNL product vac <br />2✓ <br />ri <br />s2 <br />332175-001 <br />UNL vent vac <br />0 <br />ri <br />s3 <br />332175-001 <br />UNL vapor <br />®✓ <br />ri <br />s4 <br />332175-001 <br />DSL prod vac <br />Q <br />s5 <br />332175-001 <br />DSL vent vac <br />In <br />s6 <br />332175-001 <br />Prem prod vac <br />r] <br />s7 <br />332175-001 <br />Prem vent vac <br />in <br />0 <br />� <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />In <br />0 <br />in <br />0 <br />0 <br />0 <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 />