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M .nitoring System Certification <br />UST Monitoring Site Plan <br />Site Address:._Z965�$ Zktivif y l_AA9t.MY Sr c,,tr,-, CA 95211 ^a <br />. . . . . . . . . . . . . . . . '. . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . X- 74 4310 M r/ . . . . . . <br />P- '&'�t7,To -14 <br />.......Ali... ...... :.: X F swfro. ....... <br />a <br />.: ...............s,-pM� <br />:....>�.............................. ... <br />. . . . . . . . . 1;1� eo �x . .. . .. . .. . . . . .... . . . . . <br />Q......................I.................... <br />• x ' ' 5 - 0 � . . . . . . X121 ` .� <br />: : : : : : : : <br />wtatd . . . . . . . . . . . . <br />.................. <br />............................ . <br />................................... <br />�` 9 <br />Date map was drawn:.LL/ <br />Instructions <br />[f 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 />11N-036 - 414 Page __�_ of --7_ Rev. 06/04101 <br />www.unidocs.org <br />