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I&ST Monitoring <br />Site Address: Qi p �_tQ�G?_ __`67.-=--k t�_�_1. <br />............... ............................. <br />...................... ............................. <br />...................... ........ . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . ...................... <br />. ...................... <br />.................. . <br />. ...................... <br />.................. . �* <br />.................. ..... .. 0 .. ................. <br />.................. ..... Hi ...................... <br />.................. .. ..... <br />.................. . <br />.................. .. ...................... <br />.................. .. ..... . ...................... <br />Datc map was drawn: I / t ` 03-. <br />Instructions <br />M <br />If you already have a diagram that shows all required information, you ma), include it, rather than this page, <br />with your Monitoring System Certification. On your plan, show the general layout of tanks and piping. I <br />Clearly identify locations of the following equipment, if installed: -monitoring system control panels; sensors <br />monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; <br />mechanical or electronic line leak detectors: and in -tank liquid level probes (if used for leak detection). In the <br />space provided, note the date this Plan was prepared. I <br />Page _ H of � 05/00 <br />