COMPLIANCE INFO_2019 - Laserfiche WebLink

Home Browse Search

Monitori92 Device Used ID =Identification, VPH = Vacuum/PressurelHydrostati UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM (Page 3 7 Device Model # Monitoring Device Used of 6) Device Model # VENT / TRANSITION SUMP ID: VENT / TRANSITION SUMP ID: ❑ Sump Sensor ❑ Sump Sensor ❑ VPH Sensor El VPH Sensor UDC ID: UDC ID. 3�4 ❑ Electronic Sensor Z Mechanical Device UNAIIVJ AIVU f-LUA I J ❑ Electronic Sensor ❑x Mechanical Device UNAIIVJ AIVU I'LUA I J ❑ VPH Sensor ❑ VPH Sensor UDC ID: UDC ID: ❑ Electronic Sensor Z Mechanical Device UNAIIN AIVU t'LUA I J ❑ Electronic Sensor ❑x Mechanical Device UHI,\II\IJ AIVU rLUA I J ❑ VPH Sensor ❑ VPH Sensor UDC ID: 11 "I L UDC ID: Uml V ❑ Electronic Sensor ❑x Mechanical Device UHAIIVJ AIVU I-LUA I J ❑ Electronic Sensor x❑ Mechanical Device UNAIIVJ AIVU rLUA 1 J ❑ VPH Sensor ❑ VPH Sensor UDC ID: UDC ID: ❑ Electronic Sensor ❑ Electronic Sensor ❑ Mechanical Device ❑ Mechanical Device ❑ VPH Sensor ❑ VPH Sensor Other Monitored Component ID: Other Monitored Component ID: ❑ Other (Specify in section Vll.) ❑ Other (Specify in section Vll.) Other Monitored Component ID: Other Monitored Component ID: ❑ Other (Specify in section Vll.) ❑ Other (Specify in section Vll.) Other Monitored Component ID: Other Monitored Component ID: ❑ Other (Specify in section Vll.) ❑ Other (Specify in section Vll.) Include information for every underground storage tank component monitored by this monitoring system control panel, ff the monitoring system control panel monitors more components than this form accommodates, additional copies of these pages may be attached. VII. COMMENTS Use this section to provide additional comments about the inventory of the equipment certified. DISPENSER 7-8 MIDDLE PIPE CHAIN IS BROKEN. SITE WELL MAKE REPAIRS. c, UDC = Under -Dispenser Containment