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ID = Identification, SW = Single-walled, VPH = Vacuum/Pressure/Hydrostatic, LLD = Line leak detector <br />UNDERGROUND STORAGE TANK <br />MONITORING SYSTEM CERTIFICATION FORM (Page 2 of 6) <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 <br />Veeder Root & Ronan Engineering <br />Model of Monitoring System Control Panel <br />TLS-350 & X76S <br />Software Version Installed <br />329.01 <br />Check the appropriate boxes to indicate specific equipment inspected/serviced. <br />Monitoring Device Used Device Model # Monitoring Device Used Device Model # <br />Tank ID: T-1 Diesel <br />(By tank number, stored product, etc.) <br />Tank ID: T-2 87 <br />(By tank number, stored product, etc.) <br /> In-tank Gauging (SW Tank) VR-Mag-1 In-tank Gauging (SW Tank) VR-Mag-1 <br /> Annular Space or Vault Sensor VR-302 Annular Space or Vault Sensor VR-302 <br /> VPH Sensor VPH Sensor <br />Product Piping Product Piping <br /> Mechanical LLD VMI-LD-2000 Mechanical LLD VMI-LD-2000 <br /> Electronic LLD Electronic LLD <br /> VPH Sensor (Piping) VPH Sensor (Piping) <br /> Sump Sensor VR-208 Sump Sensor VR-208 <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 91 <br />(By tank number, stored product, etc.) <br />Tank ID: T-4 Waste Oil <br />(By tank number, stored product, etc.) <br /> In-tank Gauging (SW Tank) VR-Mag-1 In-tank Gauging (SW Tank) <br /> Annular Space or Vault Sensor VR-302 Annular Space or Vault Sensor LS-10 <br /> VPH Sensor VPH Sensor <br />Product Piping Product Piping <br /> Mechanical LLD VMI-LD-2000 Mechanical LLD <br /> Electronic LLD Electronic LLD <br /> VPH Sensor (Piping) VPH Sensor (Piping) <br /> Sump Sensor VR-208 Sump Sensor LS-3 <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)