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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 : Vent/Transition Sump ID : <br /> Sump Sensor Sump Sensor <br /> VPH Sensor r: VPH Sensor <br /> UDC ID : 1 /2 UDC ID: 7/8 <br /> W Electronic Sensor 794380-208 r Electronic Sensor 794380-208 <br /> 17Mechanical Device Mechanical Device <br /> VPH Sensor 17 VPH Sensor <br /> UDC ID : 5/6 UDC ID: 11 /12 <br /> W Electronic Sensor 794380-208 �? Electronic Sensor 794380-208 <br /> Mechanical Device rMechanical Device <br /> VPH Sensor VPH Sensor <br /> UDC ID : 9/10 UDC ID: <br /> rElectronic Sensor 794380-208 ( Electronic Sensor <br /> C C Mechanical Device <br /> I Mechanical Device <br /> r VPH Sensor (�' VPH Sensor <br /> UDC ID : 3/4 UDC ID : <br /> FYI Electronic Sensor 794380-208 I Electronic Sensor <br /> Mechanical Device Mechanical Device <br /> VPH Sensor VPH Sensor <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> r: Other(Specify in section VII) C Other(Specify in section VII) <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> rOther(Specify in section VII) I� Other(Specify in section VII) <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> Other(Specify in section VII) (yOther(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 coples 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 />