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ID = Identification, VPH = VacuumPressne/Hydmstabc, UDC = Under-DsperserCortainment UNDERGROUNDSTORAGETANK MONITORING SYSTEM CERTIFICATION FORM (Page 3 of s) Monitoring Device Used Device Model # Monitorin Device Used Device Model # VENT/TRANSITION SUMP ID: 0 Sump Sensor ❑VPH Sensor DSL AST PIPING #1 VENT TRANSITION SUMP ID: 2 0 8 0 Sump Sensor ❑ VPH Sensor DSL AST PIPING #2 2 0 8 UDC ID: 0 Electronic Sensor ❑ Mechanical Device 1 12 UDC ID: 2 0 8 0 Electronic Sensor ❑ Mechanical Device 3/ 2 0 4 8 ❑ VPH Sensor ❑ VPH Sensor UDC ID: 0 Electronic Sensor ❑ Mechanical Device 5 DSL AST UDC ID: 2 0 8 0 Electronic Sensor ❑ Mechanical Device 6 DSL 2 0 AST 8 ❑ VPH Sensor ❑ VPH Sensor UDC ID: 0 Electronic Sensor ❑ Mechanical Device 7 DSL AST UDC ID: 2 0 8 0 Electronic Sensor ❑ Mechanical Device 8 DSL 2 0 AST 8 ❑ VPH Sensor ❑ VPH Sensor UDC ID: 0 Electronic Sensor2 ElMechanical Device 9 DSL AST UDC ID: 0 8 0 Electronic Sensor El Mechanical Device 10 DSL 2 0 AST 8 ❑ VPH Sensor ❑ VPH Sensor Other Monitored Component ID: 11 DSL AST Other Monitored Component ID: 0 Other (Specify in section VII.) 2 0 8 ❑ Other (Specify in section VII.) Other MonitoredComponent ID: Other Monitored Component ID: -i he (Speciry in section Vill ❑ Other (Specify in section VII.) -)ther Monitored Component ID: Other Monitored Component ID: ❑ Other (Specify in section VIl1 ❑ Other (Specify in section VII.) Include information for every underground storage tank component monitored by this monnoringsystem control panel. If the monitoring system control panel monitors more components than this form accommodates additional copies of these parres, may be attached, VII. COMMENTS Use this section to provide additional comments about the inventory of the equipment certified. ID = Identification, VPH = VacuumPressne/Hydmstabc, UDC = Under-DsperserCortainment