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Underground Storage Tank <br /> Monitoring System Certification Form <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 Sensor Model Component(s) Monitored Pass Fail <br /> L29 794380-304 UDC 15/16 Hydro ® ❑ <br /> L30 794380-304 UDC 17118 Hydro ® ❑ <br /> L31 794380-304 UDC 19/20 Hydro ® ❑ <br /> L32 794380-304 UDC 21/22 Hydro ® ❑ <br /> L33 794380-304 UDC 23/24 Hydro ® ❑ <br /> L34 794380-304 87A Fill Hydro ® ❑ <br /> L35 794380-304 87A STP Hydro ® ❑ <br /> L36 794380-304 87B Fill Hydro ® ❑ <br /> L37 794380-304 87B STP Hydro ® ❑ <br /> L38 794380-304 91 Fill Hydro ® ❑ <br /> L39 794380-304 91 STP Hydro ® ❑ <br /> L40 794380-304 Additive Fill/STP Hydro ® ❑ <br /> L41 794380-304 Additive Vent Hydro ® ❑ <br /> L42 794380-304 Gas Vent Box Hydro ® ❑ <br /> L43 794380-323 Gas Vent Box Sump ® ❑ <br /> L44 794380-323 Additive Fill/STP Sump ® ❑ <br /> L45 794380-323 87A Fill Sump ® ❑ <br /> L46 794380-323 87B Fill Sump ® ❑ <br /> L47 794380-323 91 Fill Sump ® ❑ <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 6 <br />