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Monitoring System Certification <br />UST Monitoring Site Plan <br />Site Address: <br />...................................................... <br />..................................................... <br />..................................................... <br />.............. ........................ <br />........................... <br />........... I .................................... <br />..................................................... <br />..................................................... <br />. . . . . . . . . . . . . . . . . . . . . . . . . I t - . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />.. .... . ...... . ............................ <br />Z_- . 3 ...... 5- r ...... ........ <br />.... ...... ....... . ........ <br />................................ . ........ <br />................................ .t., &q*, '' *' *. <br />................................ .... .... ........ <br />................................ .... . .... ........ <br />........... I .................... .... . .... .. <br />..................................... . .... ........ <br />................................ . ...... <br />................................ . ........ <br />................................ <br />......................... ...... <br />'a. . <br />........................ ............................ <br />I ....................... <br />....I ....................... <br />........................ .................. ......... <br />........................ ........ <br />........................ ........ <br />........................ .......... <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . 1=?T5.5..rO ............ . . . . . . . <br />I ............... ................ I ............. - <br />Date map was drawn: <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 Plan <br />was prepared- <br />Paue of <br />� __(_ _L 05/00 <br />