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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 />1-11 <br />208 <br />STP <br />® <br />❑ <br />L12 <br />304 <br />STP brine <br />® <br />❑ <br />L13 <br />208 <br />fill <br />® <br />❑ <br />L14 <br />304 <br />fill brine <br />® <br />❑ <br />L2 <br />303 <br />91 / DSL annular <br />® <br />❑ <br />S12 <br />vent box <br />vac <br />® <br />❑ <br />S13 <br />vent box <br />vent vac <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Tank ID: vent <br />Sensor ID <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L15 <br />208 <br />vent sump <br />® <br />❑ <br />L16 <br />304 <br />vent sump brine <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <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 />