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UNDERGROUNDSTORAGETANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 6 of 6) <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)de vices,! <br /> monitoring vapor recovery piping; 8) devices monitoring vent/transition sumps; 9) devices monitling,under-dispenser containment, 10) <br /> line leak detectors;and 11)devices monitoring any other secondary containment areas. • <br /> JAN 7 ZbZb <br /> Monitoring Srttaw CertiBoation <br /> USTMmkorfna"keFlan .E1�IVIRONMENTAL HEALT <br /> ----------------- - ----------------------------------------------------------------------------- - <br /> srtePddreu_ ! LATHROP GAS 8 FOOD 140 LATHROP ROAD LATHROP CA953W-9718 I DEPARTMENT <br /> la <br /> A=XNNMILR <br /> F—FILLS <br /> T—TLTtBLY <br /> . - - - - - - - - - - - - P=PROBE <br /> S-—V_-XMR <br /> S=S"EP SENSOR <br /> DIE L-L■■h DQt■CSO <br /> L \I=ltaawav <br /> C - - C B=Brice Sensor <br /> a O I—Stuart Sensor <br /> . . _ . . . . S=STP <br /> C=Float:R C6aiaa <br /> E=E Stop <br /> 91 <br /> L C C <br /> 87. L C FLC� I <br /> 0F tr O g - <br /> ;PIPLYG} <br /> Drzr ucfpisim <br /> _ _ - asto{asmp std <br /> _ - U>_s.No <br /> actnrat>_we <br /> smo::aslua <br /> b}ce Rises <br /> CAR NVASH STORE v V <br /> . . . . . . . . . . ILS A <br /> f>P frmr ura3 rsranrl r/ta an"a 11mW re r1w rer lif!"r:.xh imar.are a <br /> A�e_fwnlOpirdonort(�ardr.esde,;forffonmtrarolparpxg. Drm:-frg <br /> rot fo:cde <br /> Date map was drawn: 12111!17 <br /> lastrtctions <br /> If ym alrea_y lave a diaurarr thatshows a.:recured inforrratior you rray include n.rather than thi:page.wih your Mcnitomp Svsten Cert,fievion On your sue plan. <br /> show[ne ienera:layoutoftanks and picinp. Clearly icentifj locatcrs of the following equipment.iflnsta led:fnaiubrin p system eantc parels:sensors mtnitorna tank <br /> annularspace-,s�oro p;.dispenser pans.spit comaine,s.or oche-seran day contain ment areas me:hancal cr ele:tronr_line leak detectors and in-tank liquid ievel <br /> proles(i'used fcr eak detection). la tte sicace prw wed•note the date this Site Pfan was prepared <br /> LEGEND <br />