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UNDERGROUND FSTORAGE TANK <br /> MONITORING SYSTEM CERION FORM (Page 3 of 6) <br /> Monitoring Device Used <br /> Device Model # orin Device Used Device Model # <br /> VENT I TRANSITION SUMP ID : ANSITION SUMP ID : <br /> ❑ Sump Sensor <br /> ❑ Sump Sensor <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> 3 -4 <br /> UDC ID : <br /> -2 UDC ID : <br /> RE] <br /> gVPH <br /> nic Sensor VR 208 El Electronic Sensor VR 20 <br /> nical Device <br /> ❑ Mechanical Device <br /> ensor ❑ VPH Sensor <br /> UDC ID : <br /> 5 -6 UDC ID : 7 -8 <br /> 08 <br /> ❑x Electronic Sensor VR 208 !E] <br /> Electronic sensor VR 2❑ Mechanical Device Mechanical Device <br /> C] VPH Sensor VPH Sensor <br /> 11 - 12 <br /> uoc ID : <br /> 9 -10 UDC ID : VR 208 <br /> 9Electronic Sensor VR 208 !E] <br /> Electronic Sensor <br /> ❑ Mechanical Device Mechanical Device <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> UDC ID : <br /> 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.) El .) <br /> Other (Specify in section VII <br /> Other Monitored Component ID : Other Monitored Component ID : <br /> ❑ Other (Specify in section VII.) ❑ Other (Specify in section V11.) <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 system <br /> control anal monitors more components than this form accommodates additional copies of these pa as may be attached. <br /> VII. COMMENTS <br /> Use this section to provide additional comments about the inventory of the equipment certified. <br /> i <br /> I <br /> i <br /> i <br /> ID = Identification, VPH = VacuumrPressureHorostatic, UDC = Under-Dispenser Containment <br />