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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM tpage s of <br /> Monllorfng Device Used I Device Model �Monllorinu Device Used Device Modal # <br /> VENTlTRANSITION SUMP ID: VENT! CRANStnON SUMP Ib: <br /> 0 Sump Sensor 0 amp Sensor <br /> 0 VPH Sensor 0 VPH Sensor <br /> UDC Ib: 112 UDC ID: $L4 <br /> ® Eiedronlc sensor 794380-208 R Eedmrk Sensor 794380-208 <br /> 0 Medw dcel Device 0 Mechanical Device <br /> 0 VPH Sensor 0 VPH Sensor <br /> Ube Ib: 516 Ube 10: 718 <br /> ® EledtonlcSensor 794380-208 M medm* sensor 7943 Oa2O8 <br /> 0 Madv r>ical Device 0 Mechanloai Device <br /> D VPH Sonar 0 VPH Sensor <br /> Ube ID: 9110 UDc t0: <br /> © Electronlc sensor 794380.208 0 Eledranic sensor <br /> 13 Mechanical Revise 0 Mechan" DeNce <br /> 0 VPH Sensor CI VPH Sensor <br /> Ube ID: UDC ID: <br /> 0 Electronic Senor 0 Electronic Sensor <br /> E3 Medredad Device p Mechanical DeVes pea <br /> Q VPH Sensor 13 VPH Sensor <br /> OftrtMonitorvdComponent 10f OtharMonitondComponent iD: <br /> (] Other (Speedy In section Vila 0 Other (spodfy in sedan VN.) <br /> Olhar Monitored Component ID: OtharMonkamd Component ID: <br /> 0 Other (5pecHy in section Wt.) 0 Other (speedy la section VII) <br /> Other Monitored Component lD: <br /> other MonilorodC onentID: <br /> 0 O9w (Spa* In aacUon Vile) 0 Other (Spedfy in sodlon VII.) <br /> tndude lnformatlon rorevary underpmundstoraga tankcomponenlmonUorsdbythfsmonf(Wfnpsystem eantrotpanef. IffhemonHodogsystam <br /> control anetmonttorsmorvcom amtsOu thlslong aommmoda( lesathose max maybe affachede <br /> Vii. COMMENTS <br /> Use this section to provide additional comments about the Inventory of Ute equipment ceriftled. <br /> i <br /> ID = tdnx�on. VPH = V UDC = Llydeiblepaser{:aisNrrre� <br />