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Monitoring System Certification10 0 <br />s a <br />UST Monitorimu Site Plan <br />Site Address: <br />.. ..................... ............¢............ <br />............................I........................ <br />..................................................... <br />...................................................... <br />. . . . . . . . . . . 0 ............. ............ ........... <br />. . . . . . . . . . . 0 <br />..................................................... <br />..................................................... <br />... <br />....... <br />........... ........... <br />...............� <br />.. ......: x : . . . . . ... . :2. . . . .. .. . <br />....... .... ............�............D. <br />..................................................... <br />...... .......... <br />.. . . . . . . . . . . . x p .'� <br />... <br />. . . . . . . . . . . . 1- "T T-vt2$, A?6 <br />:: ... ..... ..... ::L: <br />sc� :®X:- <br />........... <br />��,. �....... <br />Date map was drawn: / do <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). 1n the space provided, note the date this Site Plan <br />was prepared. <br />Page of 05/00 <br />