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Site Address: --- <br />Monitorin,-,- System Certification <br />Date of Testing/Servicing: <br />UST Monitoring Site Plan <br />.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . .. . . . . . . . . . . . . . . . * . . . . . . *- <br />. . . . . . . . . . . . . . . . . . . . . . . <br />L/ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. I- %, ( <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. . . <br />........................... I .......... ............ <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />............. I ......... �00-q ........... ............... <br />................................... I ............... <br />b,4 <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />01 <br />............. ...... C ....... ............. <br />.................. ------ ------ ........... <br />.................... . * ..... <br />'7- <br />/ LA <br />......... ---- <br />--- <br />. . . . . . . . . . . 2- <br />0 7 3 ....... <br />Date map was drawn: It' 11 /0 6 <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 Ian, show the general layout of tanks and piping. Clearly identify locations <br />p ations <br />of the following equipment- if installed: monitoring system control panels; sensors monitoring tank annul:; spaces, aces. sumps, <br />dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak defectors: ' and in - <br />tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. <br />Page of OWN <br />