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Monitoring System Certification <br />UST Monitoring Site Plan <br />Site Address: '• tt n kF' 4tel • C ]�i' /t1 .? f� <br />............. I ............... I . . . . I ............... <br />.......... <br />... ............................. <br />�� ►1 Dnp. ................ . . <br />. . . . . . . ;�lrnrusnPU <br />......... <br />:..................::::::: <br />........... ........ <br />............ ............ ......... <br />...................... ............ <br />YtN A�E}. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />...................... <br />....... ... <br />....... <br />....................... <br />{i Jt! PlfYei4d'. . . . . . . . . . . . . . . . <br />'7 fii�fti . . . . . . . . . . . . . . . . . . . ..... I... .... -................................ .......* 1 1- .................................................................................. I ....................... ............... I ......................... ..........: ..... .................................. ...... ..... ........................................ I .................... ....................................................................... ...... <br />... <br />.............................. <br />Date map was drawn: <br />Instiructions <br />If you already have a diagram that shows all required information <br />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 Iine leak <br />3etectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan <br />vas prepared. <br />Page o[ 05/00 <br />