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CERS=California Environmental Reporting System, ID=Identification, UST=Underground storage tank, ICC=International Code Council <br />UNDERGROUND STORAGE TANK <br />MONITORING SYSTEM CERTIFICATION FORM (Page'3 of 6) <br />Monitoring Device Used <br />Device Model # <br />Monitoring Device Used <br />Device Model # <br />Vent/Transition Sump ID: VENTBOX <br />Vent/Transition Sump ID: <br />W, Sump Sensor <br />794380-208 <br />Sump Sensor <br />VPH Sensor <br />r VPH Sensor <br />UDC ID: 112 <br />UDC ID: 7/8 <br />C✓ Electronic Sensor <br />794380-208 <br />I✓ Electronic Sensor <br />794380-208 <br />Mechanical Device <br />Mechanical Device <br />VPH Sensor <br />I` VPH Sensor <br />UDC ID: 5/6 <br />UDC ID: 11/12 <br />I' Electronic Sensor <br />794380-208 <br />r" Electronic Sensor <br />794380-208 <br />Mechanical Device <br />Mechanical Device <br />r'VPH Sensor <br />r,VPH Sensor <br />UDC ID: 9110 <br />UDC ID: <br />* Electronic Sensor <br />794380-208 <br />r Electronic Sensor <br />Mechanical Device <br />Mechanical Device <br />VPH Sensor <br />VPN Sensor <br />UDC ID: 3/4 <br />UDC ID: <br />I✓ Electronic Sensor <br />794380-208 <br />r Electronic Sensor <br />Mechanical Device <br />Mechanical Device <br />VPH Sensor <br />F VPH Sensor <br />Other Monitored Component ID: <br />Other Monitored Component ID: <br />r' Other(Specify in section VII) <br />Other(Specify in section VII) <br />Other Monitored Component ID: <br />Other Monitored Component ID: <br />rother(Specify in section VII) <br />rOther(Specify in section VII) <br />Other Monitored Component ID: <br />Other Monitored Component ID: <br />r0ther(Specify in section VII) <br />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 pages 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 />