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UNDERGROUNDSTORAGETANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 3 of 6) <br /> Monitoring Device Used Device Model# Monitoring Device Used Device Model# <br /> VENT/TRANSITION SUMP ID: VENT/TRANSITION SUMP ID: <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: 26 Sat UDC ID: 27 Main <br /> I]Electronic Sensor 794380-208 Z Electronic Sensor 794380-208 <br /> ❑Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: 27 Sat UDC ID: 28 Main <br /> Z Electronic Sensor 794380-208 ❑x Electronic Sensor 794380-208 <br /> ❑ Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: 28 Sat UDC ID: 29 Main <br /> Z Electronic Sensor 794380-208 Z Electronic Sensor 794380-208 <br /> ❑Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: 29 Sat UDC ID: 30 Main <br /> Z Electronic Sensor 794380-208 ❑x Electronic Sensor 794380-208 <br /> ❑ Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> ❑Other(Specify in section VII.) ❑Other(Specify in section Vll.) <br /> Other Monitored Component to: Other Monitored Component ID: <br /> ❑Other(Specify in section VII.) ❑Other(Specify in section Vll.) <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> ❑Other(Specify in section VII.) ❑Other(Specify in section Vll.) <br /> Include information for every underground storage tank component monitored by this monitoring system control panel. If the monitoring system <br /> control panel monitors more components than this form accommodates,additional copies of these pages may be attached. <br /> VII. COMMENTS <br /> Use this section to provide additional comments about the inventory of the equipment certified. <br /> L26 is an ontec sensor for the waste oil tank and only comes up as sensor out alarm on the TLS-350. <br /> r <br /> AUG 1 2020 <br /> ENVIRONMENTAL HEALTH <br /> pERMITISERVICES <br /> ID=Identification,VPH=VacuunODressureiHydrostatic,UDC=Under-Dispenser Containment <br />