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Underground Storage Tank <br /> Monitoring System Certification Form <br /> Tank ID: <br /> Sensor ID Sensor Model Component(s) Monitored Pass Fail <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> U DCs: <br /> Sensor lD Sensor Model Component(s)Monitored Pass Fail <br /> 0 208/304 1/2 ® ❑ <br /> L8 208/304 3/4 ® ❑ <br /> L9 208/304 5/6 ® ❑ <br /> L10 208/304 7/8 ® ❑ <br /> L11 208/304 9/10 ® ❑ <br /> L12 208/304 11/12 ® ❑ <br /> L13 208/304 13/14 ® ❑ <br /> L14 208/304 15/16 ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> Describe a#answers marked "No"or "Fail"and proposed remedy in Section 9. <br /> List al/Monitoring equipment either replaced or repaired in Section 9. <br /> Page 4 of 8 <br />