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Monitoring Device Used CERS=California Environmental Reporting System, ID=Identification, UST=Underground storage tank, Icc=lnternattonai Code Council UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM (Page 3 of 6) Device Model # Monitoring Device Used Device Model # Vent/Transition Sump ID: Vent/Transition Sump ID: r Sump Sensor 17 Sump Sensor VPH Sensor F VPH Sensor UDC ID: 1/2 UDC ID: Electronic Sensor 794380-208 r, Electronic Sensor Mechanical Device Mechanical Device r' VPH Sensor VPH Sensor UDC ID: 3/4 UDC ID: I✓ Electronic Sensor 794380-208 F Electronic Sensor 17, Mechanical Device r� Mechanical Device 17VPH Sensor VPH Sensor UDC ID: 5/6 UDC ID: W-' Electronic Sensor 794380-208Electronic Sensor r Mechanical Device rr�, al DeviceVPH Sensor sorUDC ID: 7/8 DC ID: W Electronic Sensor 794380-208 r Electronic Sensor • Mechanical Device h Mechanical Device • VPH Sensor r VPH Sensor Other Monitored Component ID: Other Monitored Component ID: 17, Other(Specify in section VII) r Other(Specil in section VII) Other Monitored Component ID: Other Monitored Component ID: F�Other(Specify in section VII) rOther(Specify in section VII) Other Monitored Component rOther(Specify in section VII) ID: I Other Monitored Component ID: IrOther(Specify in section VII) Include information for every underground storage tank component monitored by this monitoring system control panel. If the monitoring system control panel monitors more components than this form accommodates additoinal copies of these pages may be attached. VII. COMMENTS Use this section to provide any additional comments about the inventory of the equipment certified.