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_ v <br /> Monitoring System Certifitation <br /> UST Monitoring Site Flan <br /> Site Address: I C%L=( Ej YOR 1c/7-4L-- !9V P .moi t9u`t �� I--(2,4r —�-- -- <br /> . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . �3.� : . <br /> 0. <br /> . . . . . . . . . . . <br /> . . . . . . . . . t . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . <br /> F ;�� . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> .S, , Jf 50�. O <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Date map was drawn: I 1 C?Z <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 Pian <br /> was prepared. <br /> P:ge of i»iu0 <br />