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Underground Storage Tank <br /> Monitoring System Certification Form <br /> Tank ID: <br /> Sensor/D Sensor Mode/ Com onent s Monitored Pass Fail <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> UDCs: <br /> Sensor/D Sensor Mode/ Com onent s Monitored Pass Fall <br /> L10 208 1/2 ® ❑ <br /> L11 208 3/4 ® ❑ <br /> L12 208 5/6 ® ❑ <br /> L13 208 7/8 ® ❑ <br /> L14 208 9/10 ® ❑ <br /> L15 208 11/12 ® El- <br /> 0 <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> Describe all answers marked Wo or `Fail"and proposed remedy in Section 9. <br /> List a//Monitoring equipment either rep/aced or repaired in Section 9. <br /> Page 4 of 8 <br />