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UNDERGROUNDSTORAGETANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 2 of s) <br /> VI. INVENTORY OF EQUIPMENT CERTIFIED <br /> A separate Monitoring System Certification Form must be prepared for each monitoring system control panel. <br /> Make of Monitoring System Control Panel [Model of Monitoring System Control Panel Software Version Installed <br /> VEEDER ROOT TLS 350 17.01 <br /> Check thea ro riate boxes to indicate specific equipment ins ected/serviced. <br /> Monitoring Device Used Device Model# Monitoring Device Used Device Model# <br /> TANK ID: T-1 DIESEL TANK ID: T-2 DIESEL <br /> (By tank number,stored product,etc.) (BY tank number,stored product,etc. <br /> 0 In-Tank Gauging(SW Tank) MAG-1 ❑x In-Tank Gauging(SW Tank) MAG-1 <br /> ❑x Annular Space or Vault Sensor 420 ❑x Annular Space or Vault Sensor 420 <br /> ❑VPH Sensor ❑VPH Sensor <br /> Product Piping Product Piping <br /> ❑Mechanical LLD ❑Mechanical LLD <br /> ❑Electronic LLD ❑Electronic LLD <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Fill Piping Fill Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Vent Piping Vent Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Vapor Recovery Piping Vapor Recovery Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Monitoring Device Used Device Model# Monitoring Device Used Device Model# <br /> TANK ID: T-3 DIESEL TANK ID: T-4 DIESEL <br /> B tank number,storedproduct,etc. 8 tank number,stored roduct etc. _ <br /> 9 In-Tank Gauging(SW Tank) MAG-1 ❑x In-Tank Gauging(SW Tank) MAG-1 <br /> ❑x Annular Space or Vault Sensor 420 ❑x Annular Space or Vault Sensor 420 <br /> ❑VPH Sensor ❑VPH Sensor <br /> Product Piping Product Piping <br /> ❑Mechanical LLD ❑Mechanical LLD <br /> ❑Electronic LLD ❑Electronic LLD <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Fill Piping Fill Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Vent Piping Vent Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> Vapor Recovery Piping Vapor Recovery Piping <br /> ❑VPH Sensor(Piping) ❑VPH Sensor(Piping) <br /> ❑Sump Sensor ❑Sump Sensor <br /> ❑VPH Sensor(Sump) ❑VPH Sensor(Sump) <br /> ID=Identification,SW=Single-Waled,VPH=Vacuum/PressureMydrostatic,LLD=Line Leak Detector <br />