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Underground Storage Tank <br /> Monitoring System Certification Form <br /> Tank ID: Vac Box <br /> Sensor ID Sensor Model Component(s) Monitored Pass Fail <br /> S1 vac sensor 87 product ® ❑ <br /> S2 vac sensor 91 product ® ❑ <br /> S3 vac sensor vent ® ❑ <br /> S4 vac sensor 91 vapor ® ❑ <br /> S5 vac sensor DSL product ® ❑ <br /> S6 vac sensor DSL vent ® ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> UDCs: <br /> Sensor lD Sensor Model Com onent s Monitored Pass Fail <br /> L7 VR 2:1 1/2 <br /> ® ❑ <br /> L8 VR 2:1 3/4 ® ❑ <br /> rL14 <br /> VR 2:1 5/6 ® ❑ <br /> VR 2:1 7/8 ® ❑ <br /> VR 2:1 9/10 ® ❑ <br /> VR 2:1 11/12 ® ❑ <br /> VR 2:1 13/14 ® ❑ <br /> VR 2:1 15/16 ® ❑ <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 5 of 9 <br />