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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 : Vent transition sump VENT I TRANSITION SUMP ID : <br /> ® Sump Sensor 794380-208 ❑ Sump Sensor <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> UDC ID : Unleaded 1 -2 UDC ID : Diesel 1 -2 <br /> ® Electronic Sensor 794380-208 ® Electronic Sensor 794380-208 <br /> ❑ Mechanical Device ❑ Mechanical Device <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> UDC ID : Unleaded 34 UDC ID : <br /> ® Electronic Sensor 794380-208 ❑ 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 /> UDC ID : UDC ID : <br /> ❑ Electronic Sensor ❑ Electronic Sensor <br /> ❑ Mechanical Device ❑ Mechanical Device <br /> ❑ VPH Sensor ❑ VPH Sensor <br /> Other Monitored Component ID : L11 - Waste Oil Overfill Other Monitored Component ID : L16 - Waste oil pan <br /> ® Other (Specify in section Vll.) 794390420 ® Other (Specify in section Vll.) 794380-208 <br /> Other Monitored Component ID : L12 - Hydraulic tank Gauge Other Monitored Component ID: L14 - Motor Oil Annular <br /> R Other (Specify in section VII.) 794390420 ® Other (Specify in section Vll.) 1794390420 <br /> Other Monitored Component ID: L13 - Hydraulic Tank Annular Other Monitored Component ID : <br /> ® Other (Specify in section Vll.) 1794390420 ❑ 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 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 additional comments about the inventory of the equipment certified. <br /> Waste oil tank overfill system electronic solenoid shuts down flow to the tank at the waste oil drain pan . <br /> Unleaded and Diesel tank have a mechanical drop tube overfill prevention valve as primary overfill . <br /> ID = Identification, VPH = Vacuum/PressurefiVrostatic, UDC = Under-Dispenser Containment <br />