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--.— <br /> NOV 2 0 2014 <br /> ENVIRONMENTAL HEALTH <br /> Monlioring System Cern ficatlon DEPARTMENT <br /> UST Monitoring site Plan <br /> S�Addreas: r_r�r k1kmam .[tet o . A9�" Y�o <br /> . . . . . . . . . . . . . . . . . . . . I . . . . . . 1 . . . . . <br /> . r Eha- <br /> r . . . . . . . . . �. . . . . . . . . . . . . . . . . . . . . . . <br /> If perks : ': : . : : : : : . <br /> —& . . . . . . . . . . . .C . . . . <br /> . . . . . . . . . , lar . . ., x.. . . . . . . . .(I 3''r: . . . . . . . . . . . . <br /> . . . . . . . . ` cod�"° . . . . . . . . . w a <br /> . . . . . : : : : . . . . ... : : : : j4 N., . : : . . . . <br /> ' t: : : : : : : : <br /> . . . . . . . .. : : : : : : : . . . . . . . . : : : : : : <br /> Date map was drawn:l o•r ,�. <br /> Instructions <br /> If you already nave a diagram flet shows all required milormalion,you may Indude it, rather then th's page, with your Monitoring System <br /> Cerliftallon. On your slt$plan,r how the general layout of tanks and piping. Clearly identify locations of the following squlpmaill r installed <br /> monitoring system control panel;; sensors moMtodng tank annular spaces, sumps,cuponser pans, spill oontolners, or other moridery <br /> containment areas; mechanical rr elsolroNO fine leak detectors: and iadank liquid level probes (Ir used for leak detecllol In the 9060$ <br /> providad,note the date IMs Site Plan was prepared. <br /> Mon hoAng System Certification Patio 4 of 4 19107 <br /> a 2/21107 <br /> 9'd £968M60Z wnela;ed elgel1e2i e9£GO b6 OZ AON <br />