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r . <br /> Date of Testing/Servicing: <br /> Site Address: 124 W.ELM STREET,LOD] <br /> Monitoring System Certification <br /> UST Monitoring Site Plan <br /> . . . . . . . . . . . . . . . . . <br /> �,,. . , t.it : : • : . . . . . . . . . . . . . . . . . . . . <br /> 6�lV1 U►�d '. �l' . . . . . . . . . . <br /> . • . . . . . ��C . . . . . . . . .>,Q-to x.O . <br /> . . . . . . . . <br /> Date map was drawn: 9 /A_/_ <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 />