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Monitoring System Certification <br />UST Monitoring Site Plan <br />Site Address: <br />-. .................. <br />.................. % .... <br />.................... <br />................. <br />. f <br />.-. . . <br />v� <br />................. <br />t. . . . . . . . . . . . . . . . . . . . . . . . . :.. ,,_....... . .a . �. . . . . . . . . . . . . . <br />j . <br />................................................ <br />......................................... <br />............................. <br />..... ......... <br />............. <br />.... ............. I ............. <br />.............................. :.st` ... ��. . <br />............................. x.... .... <br />................................... <br />............ <br />.......................... <br />...... <br />.. . <br />.............................. <br />.. . ........................... <br />........................... <br />.......................... <br />.................. <br />.............. . <br />.. .... <br />...................................................�. <br />........................................ <br />�v <br />..................................................... <br />0. <br />..................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />..................................................... <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 />Page of 05/60 <br />M <br />