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O <br />UST Monitoring toan <br />Site Address: —_ 6 (� Pr f�j�j— ------ -- <br />. . . . . . . . . . --- . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . , , . <br />.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . <br />.�f. <br />................... <br />. . . . . . . . . . . . . . . . . . .� d .��. �,��. . . . . . . . . . . . . . . . . . . <br />ra. ............ <br />............ <br />. . .s . . . . . . . . . . . . . . . . . . . . . . <br />. . . . .L . . . <br />.,. <br />t <br />'n t . . . . . . . . . . . . . . . . . . . . <br />9 :)L q. . . . . . . ". . . . . . . . . . . . . . . . . . . <br />. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Dale map was drawn: 1I�� I <br />Instructions <br />If you already have a diagram that shows 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 I <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 (ifused for leak detection). In the <br />space provided, note the date this Plan was prepared.` <br />05/00 <br />