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RECEIVED BY EHD: <br /> UNDERGROUND STORAGE TANK 7/27/2021 <br /> MONITORING SYSTEM CERTIFICATION FORM (Page (received via Crompco Vault Portal) <br /> Monitoring Device Used Device Model # Monitoring Device Used Device Model # <br /> Vent/Transition Sump ID: VENT BOX Vent/Transition Sump ID: <br /> W Sump Sensor 208/304 r Sump Sensor <br /> r VPH Sensor r VPH Sensor <br /> UDC ID: 1 UDC ID: 1 SAT/2 <br /> P Electronic Sensor 208/304 r Electronic Sensor 208/304 <br /> Mechanical Device Mechanical Device <br /> f VPH Sensor VPH Sensor <br /> UDC ID: 2 SAT/3 UDC ID: 3 SAT/4 <br /> P Electronic Sensor 208/304 r Electronic Sensor 208/304 <br /> Mechanical Device r Mechanical Device <br /> r VPH Sensor r VPH Sensor <br /> UDC ID: 4 SAT UDC ID: 5/6 <br /> r Electronic Sensor 208/304 r Electronic Sensor 208/304 <br /> Mechanical Device Mechanical Device <br /> r VPH Sensor r VPH Sensor <br /> UDC ID: 7/8 UDC ID: <br /> P Electronic Sensor 208/304 r Electronic Sensor <br /> Mechanical Device Mechanical Device <br /> r VPH Sensor r VPH Sensor <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> r Other(Specify in section VII) r Other(Specify in section VII) <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> rOther(Specify in section VII) rOther(Specify in section VII) <br /> Other Monitored Component ID: Other Monitored Component ID: <br /> rOther(Specify in section VII) rOther(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,additoinal 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 /> CERS=California Environmental Reporting System,ID=Identification,UST=Underground storage tank,ICC=International Code Council <br />