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Monitoring System Certification <br />Site Address: 7 <br />UST Monitoring r, <br />�. .............................................. <br />...................................................... <br />..................................................... <br />.................................................... <br />...................... :............................... <br />.................................................... <br />...... ........... <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />s........ ..................... . . . . . . . . . <br />...... _..,.,..: . <br />. . . . . . . . . . . . . . . . . . . . .gu?� ,7 <br />-~ �c <br />.......................... ��.......... <br />........ ......... <br />............. .............. <br />....... <br />. ......................................... <br />........... <br />:......:::::::::::...... :::::..:::: <br />` R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />........... <br />...................................................... <br />11 ..................................... <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . # . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />t. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />t. . . . . . . . . . . <br />........... <br />.... ...................................... ........... <br />.... ...................................... <br />1--'.*-**-******-'* .... * :*,*''** .... <br />........... <br />.......... I ..................... <br />........... <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />.................. <br />.... ..................................... ......... <br />.... ..................................... <br />.... ..................................... <br />L_ 1''*'----** ... *'*******' ............ <br />Date map was drawn: fE) <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 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 line leak <br />detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan <br />was prepared. <br />Page of 05/00 <br />M <br />