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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 I TRANSITION SUMP ID: VENT I TRANSITION SUMP ID. N P6 L N i/A <br /> HLAU hi <br /> ❑Sump Sensor ❑Sump Sensor QFPARTMENT <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: 1-2 UDC ID: 3-4 <br /> ❑x Electronic Sensor 208 ❑x Electronic Sensor 208 <br /> ❑Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: 5-6 UDC ID: 7-8 <br /> ❑x Electronic Sensor 208 x❑Electronic Sensor 208 <br /> ❑Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: 9-10 UDC ID: 11-12 <br /> ❑x Electronic Sensor 208 x❑Electronic Sensor 208 <br /> ❑Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> UDC ID: 13-14 UDC ID: 15-16 <br /> ❑X Electronic Sensor 208 ❑x Electronic Sensor 208 <br /> ❑Mechanical Device ❑Mechanical Device <br /> ❑VPH Sensor ❑VPH Sensor <br /> Other Monitored Component ID: 87 MAIN PROBE Other Monitored Component ID: 87 SYPON PROBE <br /> ❑X Other(Specify in section VII.) 208 ❑x Other(Specify in section VII.) 208 <br /> Other Monitored Component ID: 91 PROBE Other Monitored Component ID: <br /> ❑X Other(Specify in section VII.) 208 ❑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 /> ID=Identification,VPH=VacuumlPressureJHorostatic,UDC=Under-Dispenser Containment <br />