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Monitoring System Certification <br />Site Address: UST Monitoring Site Plan <br />.............................. :.: <br />........................................... <br />19fl..... ..................... <br />..................................................... <br />..................................................... <br />.............. ........ I.............................. <br />.. . . . .. . . . ...... . . . . . . . .inn <br />..... ..... s .... S . <br />...............................:. g8►j::::.�. <br />................................................. <br />....................... I ..................... <br />.. <br />......................�e �.......................... <br />::::::...................I..........I........,� <br />........................................::::,�'�. <br />........................................... <br />................................. N ........... <br />................................. .. ....... Ft 1. <br />Wit <br />................................. <br />...........::.::...........:: X1: 3 ''. : ... <br />Date map was drawn: <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, with your <br />Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify <br />locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular <br />spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak <br />detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan <br />was prepared. <br />Page + or _L_ osroo <br />