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Underground Storage Tank <br />Monitoring System Certification Form <br />U DCs: <br />Sensor ID <br />Sensor Model <br />Component(s) Monitored <br />Pass <br />Fail <br />L17 <br />208 <br />1/2 <br />® <br />❑ <br />L18 <br />304 <br />1/2 brine <br />® <br />❑ <br />L19 <br />208 <br />3/4 <br />® <br />❑ <br />L20 <br />304 <br />3/4 brine <br />® <br />❑ <br />L21 <br />208 <br />5/6 <br />® <br />❑ <br />L22 <br />304 <br />5/6 brine <br />® <br />❑ <br />L23 <br />208 <br />7/8 <br />® <br />❑ <br />L24 <br />304 <br />7/8 brine <br />® <br />❑ <br />L25 <br />208 <br />9/10 <br />® <br />❑ <br />L26 <br />304 <br />9/10 brine <br />® <br />❑ <br />L27 <br />208 <br />11/12 <br />® <br />❑ <br />L28 <br />304 <br />11/12 brine <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ I <br />❑ <br />Describe all answers marked `No"or 'Fall" and proposed remedy in Section 9. <br />List all Monitoring equipment either replaced or repaired in Section 9. <br />Page 5 of 9 <br />