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Underground Storage Tank <br />Monitoring System Certification Form <br />Tank ID: DSL <br />Sensor ID <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L5 <br />208/304 <br />STP sump/brine <br />® <br />❑ <br />L6 <br />208/304 <br />fill sump/brine <br />® <br />❑ <br />S7 <br />463/464 <br />product <br />® <br />❑ <br />S9 <br />463/464 <br />vent <br />® <br />❑ <br />S10 <br />463/420 <br />DSU91 annular <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Tank ID: <br />Sensor ID <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />uescnDe all answers marKed 'No" or 'fait" and proposed remedy in Section 9. <br />List all Monitoring equipment either replaced or repaired in Section 9. <br />Page 4 of 9 <br />