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<br />ID = Identification, VPH = Vacuum/Pressure/Hydrostatic, UDC = Under-dispenser containment <br />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 VPH Sensor <br />UDC ID: #1-2 UDC ID: #3-4 <br /> Electronic Sensor Electronic Sensor <br /> Mechanical Device Bravo Chains & Floats Mechanical Device Bravo Chains & Floats <br /> VPH Sensor VPH Sensor <br />UDC ID: #5-6 UDC ID: #7-8 <br /> Electronic Sensor Electronic Sensor <br /> Mechanical Device Bravo Chains & Floats Mechanical Device Bravo Chains & Floats <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 />UDC ID: UDC ID: <br /> Electronic Sensor Electronic Sensor <br /> Mechanical Device Mechanical Device <br /> VPH Sensor VPH Sensor <br />Other Monitored Component ID: T-4 Waste Oil “High Level” Other Monitored Component ID: <br /> Other (Specify in section VII.) LS-3 Other (Specify in section VII.) <br />Other Monitored Component ID: Other Monitored Component ID: <br /> Other (Specify in section VII.) Other (Specify in section VII.) <br />Other Monitored Component ID: Other Monitored Component ID: <br /> Other (Specify in section VII.) Other (Specify in section VII.) <br />Include information for every underground storage tank component monitored by this monitoring system control panel. If 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 />Note: T-4 Waste Oil has its own monitoring panel and is equipped with a Ronan X-76S. <br /> Ronan X76S is does not have a printer installed, no alarm history or set up attached. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />