Laserfiche WebLink
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: Unleaded Vent Sump Vent/Transition Sump ID: Additive Vent Sum <br /> E Sump sensor 794380-323 E Sump Sensor 794380-323 <br /> E VPH Sensor 794380-304 E VPH Sensor 794380-304 <br /> UDC ID: 1 & 2 UDC ID: 3 &4 <br /> ® Electronic Sensor 794380-323 E Electronic Sensor 794380-323 <br /> ®Mechanical Device OPW Shear Valve E Mechanical Device OPW Shear Valve <br /> E VPH Sensor 794380-304 E VPH sensor 794380-304 <br /> UDC ID: 5 & 6 UDC ID: 7 &8 <br /> ® Electronic Sensor 794380-323 E Electronic Sensor 794380-323 <br /> ®Mechanical Device OPW Shear Valve E Mechanical Device OPW Shear Valve <br /> E VPH Sensor 794380-304 E VPH Sensor 794380-304 <br /> UDC ID: 9 & 10 UDC ID: 11 & 12 <br /> E Electronic Sensor 794380-323 E Electronic Sensor 794380-323 <br /> E Mechanical Device OPW Shear Valve E Mechanical Device OPW Shear Valve <br /> E VPH Sensor 794380-304 E VPH Sensor 794380-304 <br /> UDC ID: 13 & 14 UDC ID: 15 & 16 <br /> E Electronic Sensor 794380-323 E Electronic Sensor 794380-323 <br /> E Mechanical Device OPW Shear Valve E Mechanical Device OPW Shear Valve <br /> E VPH Sensor 794380-304 E VPH Sensor 794380-304 <br /> UDC ID: 17 & 18 UDC ID: 19 & 20 <br /> E Electronic Sensor 794380-323 E Electronic Sensor 794380-323 <br /> E Mechanical Device OPW Shear Valve E Mechanical Device OPW Shear Valve <br /> E VPH sensor 794380-304 E VPH Sensor 794380-304 <br /> UDC ID: 21 & 22 UDC ID: 23 &24 <br /> E Electronic Sensor 794380-323 E Electronic sensor 794380-323 <br /> E Mechanical Device OPW Shear Valve E Mechanical Device OPW Shear Valve <br /> E VPH Sensor 794380-304 j E VPH Sensor 794380-304 <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> ❑Other(specify in section Vll.) I ❑ Other(Specify in section Vll.) <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> ❑Other(Specify in section Vll.) I 1 ❑Other(Specify in section VII.) <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> ❑Other(Specify in section VII.) I I ❑Other(Specify in section Vll.) <br /> Include information for every underground storage tank component monitored by this monitoring system control panel. If the monitoring <br /> system 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 any additional comments about the inventory of the equipment certified. <br /> T4 Additive has a shared Fill and STP Sump. Fill Sump sensors are covered in Piping sump listing. <br /> ID=Identification,VPH=Vacuum/Pressure/Hydrostatic,UDC=Under-dispenser containment <br />