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I <br />Monitoring System Certification 40 0 <br />UST Monitoring Site flan <br />Site Address: <br />a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . I' ' * * * ' <br />1 "14%Ce9l�, <br />. . . . . . . . . . . . =Y-. *' '.l * <br />.. . . . . . . . . . . .—. ./` �.u- . . . . . . . <br />.. . . . . . . . . . . .' h. _ �� j3 ". . . . <br />5-............ ...... ..... <br />.......... M, * *.' ' .'' * * * J_� ...... ><- =. - <br />............... ... ..... .......... <br />............ OT .................... ............... <br />r: ::: 1 . : :::: ..: .. ... <br />.. ........................ ............... <br />..................................................... <br />...................................................... <br />Date map was drawn: J Z/ 6 / ,_ <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 pian, 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 05100 <br />