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IV.10111L0C111k J)SLrtu 4ci LIAM49LMRI <br /> r <br /> A <br /> UST Monitoring <br /> Site Address: <br /> . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . <br /> . . . . . . . . . . <br /> . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 4 * * . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . <br /> I <br /> ,` • Q <br /> . . . . . . . . . . . . . . . . . . . I . • . . . . • • • • <br /> . (• <br /> •! • <br /> r-- . . . . . . . . . . I . . . . . . I . . . . . . . . . . . . . . . <br /> : : . . . . . . . . . . <br /> . . ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> :� . . . . . � . . : : : : : : : : : : : : : : : : . . . . . . . . . . . . . . . . . <br /> Date n1a p was drawn: <br /> -moi 2-t <br /> Instructions <br /> If you already have a diagram that shoe=s 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. <br /> Clearly identify locations of the following equipment, if installed: -monitoring system control panels; sensors <br /> monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; <br /> mechanical or electronic line leak detectors-. and in-tank liquid level probes (if used for leak detection). In the <br /> space provided, note the date this Plan was prepared. <br /> Page _ of 05/00 <br />