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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Paye a of s) <br /> XVI. 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 /> JUN 10 2029 <br /> ENVIRONMENTAL HEALTH <br /> DE' P RTIVENT <br /> LEGEND <br />