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Underground Storage Tank <br /> Monitoring System Certification Form <br /> Tank ID: DSL <br /> Sensor ID Sensor Model Component(s) Monitored Pass Fail <br /> L5 208 STP ® ❑ <br /> L5 304 STP brine ® ❑ <br /> L6 208 fill ® ❑ <br /> L6 304 fill brine ® ❑ <br /> L8 303 annular ® ❑ <br /> S22 463 product ® ❑ <br /> S23 463 vent ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> Tank ID: Vent <br /> Sensor ID Sensor Model Component(s)Monitored Pass Fail <br /> L17 208 vent ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <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 4 of 9 <br />