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R <br />Monitoring System Certification <br />Site Address: <br />i <br />UST Monitoring <br />. <br />. . . . . . . . . . . . *. <br />. .... .. . ... . .. . . .. . .. . .. .... <br />.... ............ ......................... <br />............................................... <br />..................................................... <br />.................................................. .... <br />. . . . . . . . . . . . . 4\- �V. . . I <br />................................. <br />...............................: -A <br />. . . .. . .. . . . . . . . . . . . . . . . . . . . . . . <br />Vate map was drawn: <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring <br />System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following <br />equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill <br />containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in -tank liquid level probes (if used <br />for leak detection). In the space provided, note the date this Site Plan was prepared. <br />