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UNDERGROUND STORAGE TANK <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 /> r Sump Sensor r Sump Sensor <br /> VPH Sensor r VPH Sensor <br /> UDC ID : 1 /2 UDC ID : <br /> r Electronic Sensor 794380-208 Electronic Sensor <br /> r Mechanical Device r Mechanical Device <br /> h VPH Sensor � VPH Sensor <br /> UDC ID: 5/6 UDC ID : <br /> Electronic Sensor 794380-208 Electronic Sensor <br /> Mechanical Device Mechanical Device <br /> r VPH Sensor r VPH Sensor <br /> j UDC 1D : 3/4UDC ID : <br /> Iv Electronic Sensor 794380-208 r Electronic Sensor <br /> Mechanical Device r Mechanical Device <br /> [ VPH Sensor r VPH Sensor <br /> UDC ID : 7/8 <br /> UDC <br /> r Electronic Sensor 794380-208 Electronic Sensor <br /> Mechanical Device Mechanical Device <br /> VPH Sensor r VPH Sensor <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> I Other(Specify in section VII ) r Other(Specify in section VII) <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> r0ther(Specify in section VII) rjOther(Specify in section VII ) <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> rOther(Specify in section VII ) rOther(Specify in section VII) <br /> Include information for every underground storage tank component monitored by this monitoring system control pane►. If the monitoring system <br /> control panel monitors more com onents than this form accommodates additoinal copies of these pa es may be attached. <br /> VII . COMMENTS <br /> Use this section to provide any additional comments about the inventory of the equipment certified. <br /> CERS=California Environmental Reporting System , ID=Identification , UST=Underground storage tank, ICC=International Code Council <br />