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UNDERGROUNDSTORAGETANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 3 of s) <br /> Monitoring Device Used Device Model# _l Monitorin Device Used Device Model# <br /> VENT I TRANSITION SUMP ID: PC] <br /> ENT I TRANSITION SUMP ID: <br /> El Sump Sensor 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 ❑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: Hi Flow Piping Sump Other Monitored Component ID: <br /> M Other(Specify in section Vll.) 0794380-205 ❑Other(Specify in section Vll.) <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> ❑Other(Specify in section Vll.) ❑Other(Specify in section VII.) <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> ❑Other(Specify in section VII.) ❑Other(Specify in section V1L) <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 a es maybe attached. <br /> VII. COMMENTS <br /> Use this section to provide additional comments about the inventory of the equipment certified. <br /> Drop Tube is equipped with an overfill prevention valve. <br /> ID=Identification,VPH=Vacuum/Pressure4Vrostatic,UDC=Under-Dispenser Containment <br />