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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 3 of s) <br /> Monitoring Device Used Device Model# Monitoring Device Used Device Model# <br /> VENT/TRANSITION SUMP ID: Bio Shed Transition Sump VENT/TRANSITION SUMP ID: <br /> ❑Sump Sensor E]Sump Sensor <br /> ]VPH Sensor ❑VPH Sensor <br /> UDC ID: UDC ID: <br /> ❑Electronic Sensor [-]Electronic Sensor <br /> [-]Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: UDC ID: <br /> ❑Electronic Sensor ❑Electronic Sensor <br /> ❑Mechanical Device E]Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: UDC ID: <br /> [:]Electronic Sensor ❑Electronic Sensor <br /> [:]Mechanical Device ❑Mechanical Device <br /> [-]VPH Sensor [-]VPH Sensor <br /> UDC ID: UDC ID: <br /> ❑Electronic Sensor [-]Electronic Sensor <br /> [-]Mechanical Device [-]Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> ❑Other(Specify in section VU.) ❑Other(Specify in section Vll.) <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> ❑Other(Specify in section Vll.) ❑Other(Specify in section Vll.) <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> ❑Other(Specify in section VII.) ❑Other(Specify in section VII.) <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 /> Replaced Ll6 Hydro sensor only, no other monitoring equipment tested at this time <br /> ID=Identification,VPH=VacuumlPressureHydrostatic,UDC=Under-Dispenser Containment <br />