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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION i 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 /> Sump Sensor Sump Sensor <br /> I VPH Sensor VPH Sensor <br /> UDC ID: 1 /2 UDC ID : 7/8 <br /> Electronic Sensor 794380-208 Electronic Sensor 794380-208 <br /> I Mechanical Device I Mechanical Device <br /> C VPH Sensor VPH Sensor <br /> UDC ID : 5/6 UDC ID: 11 /12 <br /> 11 Electronic Sensor 794380-208 IYI Electronic Sensor 794380-208 <br /> Mechanical Device Mechanical Device <br /> VPH Sensor F, VPH Sensor <br /> UDC ID: 9/10 UDC ID: <br /> 1✓ Electronic Sensor 794380-208 r Electronic Sensor <br /> Mechanical Device r, Mechanical Device <br /> r, VPH Sensor VPH Sensor <br /> UDC ID: 3/4 UDC ID : <br /> Wy Electronic Sensor 794380-208 Electronic Sensor <br /> 176 Mechanical Device Mechanical Device <br /> VPH Sensor 1 VPH Sensor <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> F. Other(Specify in section VII ) r Other(Specify in section VII) <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 /> I�Other(Specify in section VII) FOther(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 pages may be attached. <br /> V11. COMMENTS <br /> Use this section to provide any additional comments about the inventory of the equipment certified. <br /> i <br /> C <br /> E CERS=California Environmental Reporting System , ID=Identification, UST=Underground storage tank, ICC=International Code Council <br /> i <br />