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UNDERGROUND STORAGETANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page s of s) <br /> XVI. MONITORING SITE PLAN <br /> Date site map was prepared: 5/7/2020 <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 /> Mile Addnas: <br /> . . : . . . z <br /> . . . . . . . . . . . . . . . . . _ <br /> .s.=NNLLJLRSensor . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . <br /> F=FILLS - -V=VAPOR . . . . . . . . . . . . . . z . . . . . . . . . <br /> P=PROBE . . . . . . . . . . . . . . . . . . . . <br /> L=Turbine:Leek Detacttor . . . . . . . . . . . <br /> k=SLI IP SUNSOR . . . . _ . . _ . a DIESEL nNLT—. . _ . <br /> B=Brine <br /> Sensor . . . . . . . . . . . . . _ - - <br /> S=Smart Sensor - . . . . . . . . . <br /> C-Floats&Chaim . . . . . . . _ . . . _ -. -F` - - - <br /> E=£Stop <br /> DILE, r <br /> . I O <br /> P <br /> . - . . _ . . . . . . . . _ . . . _ . . . . . . T L - <br /> x <br /> . . . <br /> . . . . . . . . . . . . . . <br /> . _ . _ - TL <br /> . . . . . . . . . . . . . . .87 <br /> X .6= 7 S 8_ . _ . . _ . _ . . . . . . . . P <br /> . . . . . . . . . i. . . . . . . . . . . . . . . . . . . . . <br /> 1iAS ON . _ . . . . . . . _ . . . . . . . . . . . . . . . . . . <br /> P <br /> xs . . . . . . . . . . . . . , <br /> . . . . . . . r <br /> . . . . .2 is _ _ . . . . . . . . . . . . . . . . <br /> +PIPING; . . . . . . . T <br /> (,4RRORS) . . lg <br /> is axit of '1'L <br /> y;E- <br /> M. and U'DC s. <br /> Yo imdammund . . . . . . . �. <br /> dranne is <br /> accurate.a-e <br /> cannot specu:ate _in item:ury'argrouxd trot me no:tiri3ta to ars ce�-t6(tYxg tsclotirimt ma a <br /> blue prints. prgfa::fmtai opbn£am onh.mid ars:olsh.for nlrormational ptopo:ss. Drmvitxf <br /> nc:to:cola <br /> L� p(Ctrl) <br /> Date mai was drawn:517r20 <br /> Instructions <br /> If you alrea_y have a diagram that shows all required in!ormationyou may include n,rather than this page,with your Monitoring System Certfication. On your site plan. <br /> show t^z -nera layout of tanks and piping. Clearly gently locators althe following equipment,if installed-mon4orrg system control panels;sensors monimnrg lank <br /> annular spaces,scraps,dispenser pans•spill containers•or other sexndary containment areas_mechanical or e'ecirorrc line leak detectors:and in-tank Ilgwd level <br /> robes(if used Far oak detectrn). Is tha space provided,note the date this Site Pian was prepared. <br /> LEGEND. <br /> UY 18 2020 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br />