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Monitoring System Certification • <br />UST Monitoring Pla n <br />Site Address: ------- <br />r <br />.... ......... ....I .............. . ... '_ s : <br />.............. ...................... .�.. ... <br />. . . <br />.. ........... .. <br />.. � �.... ..... <br />.............. -ON <br />............................. .. <br />�V' <br />.................... ... ........ 1�il ..... . <br />...................................... .......... . <br />.................... .............. . <br />................ I . ................................ . <br />.................... <br />• 1 . . . • • . . . . . . . . . . . . • . <br />.... <br />? .x. "� ............... <br />.......... :......... <br />Date neap was drawn: L <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, <br />with y6pri,Monitoring-System Certification. Can your , pian, show the gencral layout of tanks and piping. <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. <br />1"Ige of 05100 <br />