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W. INVENTORY OF EQUIPMENT CERTIFIED A Separate Monitorirto System Certification Farm must fie nnMArAd fnr n h rnnnrsnrinn �..ore.........�...r ...... Make of Monitoring System Control Panel VEEDER ROOT ❑ VPH Sensor (Piping) Motlel of Monitoring System Control Panel T L S- 3 5 0 Software Version Installed 15.04 Check the a ro ria[e boxes to indicates specific equipment ins acted/serviced. ❑ VPH Sensor (Sump) Monitorin Device Used I Device Model # Monitorina Device Used Device Model # TANK Ytank 1 8 tank number, stored oduct, etc. 0 In -Tank Gauging (SW Tank) 0 Annular Space or Vault Sensor ❑ VPH Sensor _ 87 OCTANE M A G 2 4 2 0 TANK ID: B tank number. stored oduct, etc. 0 In -Tank Gauging (SWTank) 0 Annular Space or vault Sensor ❑ VPH Sensor 2 - 91 OCTANE M A G 2 SHARED VESSEL Product Piping ❑ VPH Sensor Product Piping Product Piping 0 Mechanical LLD ❑ Electronic LLD 99 LD 2000 0 Mechanical LLD ❑Electronic LLD 99 LD 2000 ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) ❑ Sump Sensor x❑ Sump Sensor ❑ VPH Sensor (Sump) 2 0 8 x❑ Sump Sensor ❑ VPH Sensor (Sump) 2 0 8 Fill Piping ❑ VPH Sensor (Piping) Fill Piping ❑ Sump Sensor ❑ VPH Sensor (Piping) ❑ VPH Sensor (Sump) ❑ VPH Sensor (Piping) Vent Piping ❑ Sump Sensor ❑ VPH Sensor (Piping) ❑ Sump Sensor ❑ Sump Sensor ❑ VPH Sensor (Sump) ❑ VPH Sensor (Sump) Vent Piping Vent Piping ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) 0 Sump Sensor n. 2 0 8 0Sump Sensor 2 0 8 u • "] U VPH Sensor (Sump) Vapor;Zvery Piping Vapor Recovery Pipina ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) 0 Sump Sensor 2 0 8 ❑p Sump Sensor 2 0 8 ❑ VPH Sensor (Sump) ❑ VPH Sensor (Sump) Monitoring Device Used Device Model # Monitorin Device Used Device Mode( # TANK ID: (By tank number, stored rodu TANK ID: (By tank number, storetl oduct etc. ❑ In -Tank Gauging (SWTank) ❑ In -Tank Gauging (SW Tank) ❑ Annular Space or Vault Sensor ❑ Annular Space or Vault Sensor ❑ VPH Sensor ❑ VPH Sensor Product Piping Product Piping ❑ Mechanical LLD ❑ Mechanical LLD ❑ Electronic LLD ❑ Electronic LLD ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) ❑ Sump Sensor ❑ Sump Sensor ❑ VPN Sensor (Sump) ❑ VPH Sensor (Sump) Fill Piping Fill Piping ❑ VPH Sensor (Piping} ❑ VPH Sensor (Piping) ❑Sump Sensor ❑ Sump Sensor ❑ VPH Sensor (Sump) ❑ VPH Sensor (Sump) Vent Piping Vent Piping ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) ❑ Sump Sensor ❑ Sump Sensor ❑ VPH Sensor (Sump) ❑ VPH Sensor (Sump) Vapor Recovery Piping Vapor Recovery Piping ❑ VPH Sensor (Piping) ❑ VPH Sensor (Piping) ❑ Sump Sensor ❑ Sump Sensor LJ VPH Sensor (Sump) ❑ VPH Sensor (Sump) ID= Identification, SW= Single-Waisd, VPH = Vaour PmsaumtWmstapc, LLD = Line Leak Deur