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,)ST Monitoring 1 .n <br />Site Address: <br />. . . . . . . . . <br />. . . . . . . . . <br />. . . . . . . . . . . . . <br />. . . . . . . . . . . . . <br />. . . . . . . . . . . . . <br />file -.01.1j. <br />1 f lira. <br />. . . . . <br />. . . . . <br />. . . . . <br />. . . . . <br />. . . . . <br />. . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . I . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . .1 . <br />-17 4.V . . <br />p.9 <br />fn. . . <br />. . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . <br />P <br />40 <br />rr <br />. <br />. <br />.� ti <br />1 <br />. . . . . . . . . <br />. . . . . <br />. . . .I �`,✓_,.35 <br />. . . . . . . . . . . . <br />_ <br />�.- >t . . . . . . . . . . . . . . . . . . . . . . <br />):7 T 1 . . . . . . . . . . . . . . . <br />1)silt• m.,q) wrs drawn: /__._�.._... <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, <br />with your Monitoring System Certification. On your plan, show the general layout of tanks and piping. I <br />Clearly identify locations of the follo«'ing equipment, if' installed: -monitoring system control panels; sensors <br />monitoring tank annular spaces, sumps, dispenser palls, spill containers, or other secondary containment areas; <br />mechanical or electronic line leak defectors. and in -tank liquid level probes (if used for leak detection). In the <br />space provided, note the dale this flan was prepared. <br />page 6 of 6 05/00 <br />