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Monitoring System Certification <br />n <br />Date of Teesting/Ser/icing: <br />...................... ......... <br />........... '. . . . . . . . . . . . . . . . . . . ........... <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . C5............ <br />no <br />Q 2 f <br />. . . . . . . . . . . . . ® u.,. <br />. . . . . . . . . . . . . . . . . <br />. .. .. . .. . .. ... . .... . .1 71 ^ It (J, d-6 .e . . . ... . . . . . . . . <br />................3 VA r.v,2L............. 9 <br />. . . . . . . . . . . . . . . . . . . . y. ..1lII . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . <br />............................................... I <br />..................... ....... <br />................................ I .......I <br />Date map was drawn: l 1 / L(_ / 0 4. <br />111MOMMV1114 <br />If you already have . diagram that showsrequiredinformation, you 1 rrather1x.1 de:i.:g'with •.: <br />Monitoring System Certification.O'1 your plan. showgenerallayout oftanksit piping. r- ,"R' N. Rtx <br />of the following f ii ` 0. insmiled: f. t 1 io. 1 i:;R t panels; sensors ` 1 t 1 o. 1 ♦ tank annular1.' ,. i 3.. <br />dispenser f.x. R containers, other secondary mechanical t felectronic f . detectors;x: •;. t. <br />tank liquidlevelprobes used for leak detection). In the spaceprovided, 1.# date thisPlan was prepared. <br />Page of OSloO <br />