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UNDERGROUNDSTORAGETANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 6 of 6) <br /> W. MONITORING SITE PLAN <br /> Date site map was prepared: <br /> If you already have a site plan that shows all required information,you may include it,rather than this page, with your Monitoring System <br /> Certification Form. The site plan must show the general layout of tanks and piping and clearly identify locations of the following equipment, <br /> if installed: 1) monitoring system control panels; 2) in-tank liquid level probes (if used for leak detection); 3) devices monitoring tank <br /> annular spaces or vault;4)devices monitoring product piping;5)devices monitoring fill piping;6)devices monitoring vent piping,7)devices <br /> monitoring vapor recovery piping; 8) devices monitoring vent/transition sumps; 9) devices monitoring under-dispenser containment; 10) <br /> line leak detectors;and 11)devices monitoring any other secondary containment areas. <br /> Site Addters_ I GREWALS 76 GAS&LIQUOR 4100 FREMONT STREET STOCKTON CA 55215 <br /> FREMONT STREET N <br /> .87._ . . . . . <br /> l <br /> . . . <br /> 91. T <br /> X <br /> O <br /> L 7 <br /> DIE_ . . . . . . . . <br /> . . . . . . . . . . . <br /> ICY <br /> A=A\1ZLAR <br /> F=FILLS <br /> T=TL-RBI SE <br /> PIPhG P=PROBE <br /> D:�ai_e of=ipmz <br /> V=1.APOR <br /> ffmt of sump and .a'rc l=SUN IP SFt_\SOR <br /> UDC*L\o L=Leak Detector <br /> nnnderntround M=N L=N y <br /> drair'nz-is STORE B=Briue Sensor <br /> we I=Smart Sensor <br /> annot specu-ate S=STP <br /> biue prints. C=Float;&Clnaia> <br /> F=E Stop <br /> iris item;underground that are not Ycible to the cavgfi-ing technician are a <br /> prgfQt;ional opinion ont:and are soielyfor i>?hrmdiornal purposes. Drawing <br /> nc: <br /> to:rale <br /> Cstc ma:was d,av,-: 4-22-19 <br /> Instructions <br /> If you already have a diagram that shows a required information.you may include_it rather than this page,with your Monitoring System Certfication. On your site pla-. <br /> shave the general layout of tanks and piping. Charly identfy locations of the following equipment,Ninstalled:monitoring system control parels;sensors mondormg tan< <br /> annular spaces,sumps.aispenser pans,spill containers,or other secondary containment areas.mechanical or electronic line leak detectors:and in-tank liquid Ievei <br /> probes(if used for teak detection). In the scam provided,note the date this Site Plan was prepared. <br /> LEGEND <br />