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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 : Unleaded Vent Sump Vent/Transition Sump ID : Additive Vent Sump <br /> N Sump Sensor 794380 -323 N Sump Sensor 794380 -323 <br /> N VPH Sensor 794380 - 304 N VPH Sensor 794380 -304 <br /> UDC ID : 1 & 2 UDC ID : 3 & 4 <br /> ® Electronic Sensor 794380 -323 N Electronic Sensor 794380- 323 <br /> N Mechanical Device OPW Shear Valve N Mechanical Device OPW Shear Valve <br /> N VPH Sensor 794380 -304 N VPH Sensor 794380 -304 <br /> UDC ID : 5 & 6 UDC ID : 7 & 8 <br /> N Electronic Sensor 794380 - 323 N Electronic Sensor 794380 -323 <br /> N Mechanical Device OPW Shear Valve N Mechanical Device OPW Shear Valve <br /> N VPH Sensor 794380 - 304 N VPH Sensor 794380 -304 <br /> UDC ID : 9 & 10 UDC ID : 11 & 12 <br /> N Electronic Sensor 794380 -323 N Electronic Sensor 794380- 323 <br /> N Mechanical Device OPW Shear Valve N Mechanical Device OPW Shear Valve <br /> N VPH Sensor 794380 -304 N VPH Sensor 794380 -304 <br /> UDC ID : 13 & 14 UDC ID : 15 & 16 <br /> N Electronic Sensor 794380 - 323 N Electronic Sensor 794380 -323 <br /> N Mechanical Device OPW Shear Valve N Mechanical Device OPW Shear Valve <br /> N VPH Sensor 794380 -304 N VPH Sensor 794380- 304 <br /> UDC ID : UDC ID : <br /> ❑ Electronic Sensor ❑ Electronic Sensor <br /> ❑ Mechanical Device ❑ Mechanical Device <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> UDC ID : UDC ID : <br /> ❑ Electronic Sensor ❑ Electronic Sensor <br /> ❑ Mechanical Device ❑ Mechanical Device <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> ❑ Other (Specify in section VII.) LL ❑ Other (Specify in section VII.) <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> ❑ Other (Specify in section Vll) ❑ Other (Specify in section VII.) <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> ❑ Other (Specify in section Vll.) ❑ Other (Specify in section VII.) <br /> Include information for every underground storage tank component monitored by this monitoring system control panel. /f the monitoring <br /> system control panel monitors more components than this form accommodates, additional copies 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 /> T4 Additive has a shared Fill and STP sump . Fill sump sensors are covered in Piping sump listing . <br /> I <br /> in = Irlpnfifl"finn. VPH = Vnri nim/PrpACllrp/HvtirncfAtir. I Inr = I Inrlpr dicnpncpr rnnfainmpnt <br /> I <br /> I <br />