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lonitoring System Certification <br />UST Monitoring Site Plan <br />Site Address: <br />..................................................... <br />...................I................................ <br />................................................. <br />.......................................... <br />I...... <br />... <br />... <br />............................................. <br />.1 ............................................... <br />... <br />............................................... <br />t. .............................................. <br />... <br />... <br />............................................... <br />... <br />........................... <br />... <br />p. . . <br />. . . . . . <br />. . . . . . . . . . <br />. . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . <br />. . . . . . <br />. . . <br />. . . <br />. . . <br />. . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . <br />* ' ' * ' ' * . )�\� . . . . . . . . . . . <br />. . . . . . . . . . <br />......... <br />............. ................ <br />... <br />.L� <br />��,. <br />. . . . <br />: <br />. . . . . . . . <br />.... ... . . . <br />. ................... <br />. <br />. . . . . . . . . . . . <br />. . . . . . . . . I . . ....... . . .. <br />........... ... <br />. . . . . . <br />.... <br />. . <br />.... . . <br />.. <br />............................ <br />......... ....... <br />. <br />............................. <br />......... ....... <br />..�. <br />. . . . . . . . . . . . . . . . . . <br />..................................................... <br />. . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . <br />. . . . . . . . <br />. . . . . . . . . . . . . . . . . <br />. . . . . . . . . . .. . . <br />. . . . . . . . . . . . . . . . . I . . . . . . . <br />. . . . . . . . . . I . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . <br />. . . . . ..... . . .. <br />. . . . . <br />. . . . . . . . .. <br />. . . . . . . . . <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 of 05/00 <br />