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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION ' FORM (Page `3of6) <br /> Monitoring Device Used Device Model # Monitoring Device Used Device Model # <br /> Vent/Transition Sump ID : Vent/Transition Sump ID : <br /> I Sump Sensor Sump Sensor <br /> r VPH Sensor VPH Sensor <br /> UDC ID : 1 /2 UDC ID : 7/8 <br /> W Electronic Sensor 794380-208 Il Electronic Sensor 794380-208 <br /> Mechanical Device Mechanical Device <br /> r VPH Sensor r VPH Sensor <br /> UDC ID : 5/6 UDC ID: 11 /12 <br /> W Electronic Sensor 794380-208 Electronic Sensor 794380-208 <br /> r Mechanical Device Mechanical Device <br /> r� VPH Sensor VPH Sensor <br /> UDC ID : 9/10 UDC ID: <br /> C Electronic Sensor 794380-208 r% Electronic Sensor <br /> • Mechanical Device r Mechanical Device <br /> • VPH Sensor r� VPH Sensor <br /> UDC ID: 3/4 UDC ID : <br /> Electronic Sensor 794380-208 F Electronic Sensor <br /> 1 Mechanical Device r Mechanical Device <br /> I VPH Sensor r� VPH Sensor <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 /> rother(Specify in section VII ) r0ther(Specify in section VII) <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> I Other(Specify in section VII ) rother(Specify in section VII) <br /> jInclude information for every underground storage tank component monitored by this monitoring system control panel. If the monitoring system <br /> control panel monitors more components than this form accommodates additoinal copies of these pages may be attached. <br /> I VII . COMMENTS <br /> Use this section to provide any additional comments about the inventory of the equipment certified. <br /> I <br /> CERS=California Environmental Reporting System , ID=Identification , UST= Underground storage tank, ICC=International Code Council <br />