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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 : VENTBOX Vent/Transition Sump ID : <br /> W, Sump Sensor 794380-208 (� Sump Sensor <br /> VPH Sensor r; VPH Sensor <br /> UDC ID : 1 /2 UDC ID : 3/4 <br /> W Electronic Sensor 794380-208 W Electronic Sensor 794380-208 <br /> Mechanical Device r Mechanical Device <br /> I� VPH Sensor ` VPH Sensor <br /> UDC ID : 5/6 UDC ID : 7/8 " <br /> W Electronic Sensor 794380-208 r Electronic Sensor 794380-208 <br /> Mechanical Device r: Mechanical Device <br /> r VPH Sensor VPH Sensor <br /> UDC ID : 9/10 UDC ID: 11 /12 <br /> W Electronic Sensor 794380-208 W Electronic Sensor 794380-208 <br /> r Mechanical Device Mechanical Device <br /> VPH Sensor VPH Sensor <br /> UDC ID: 13/14 UDC ID : 15116 <br /> Electronic Sensor 794380-208 (� Electronic Sensor 794380-208 <br /> I� Mechanical Device C Mechanical Device <br /> r VPH Sensor ( VPH Sensor <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> r Other(Specify in section VII ) Other(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 /> 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 panel. If the monitoring system <br /> control panel monitors more components than this form accommodates additoinal copies of these pagges 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 />