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Monitoring System Certification <br />UST Monitoring Site Plan <br />Site Address: <br />a. . . . . . . . . . . r— ---, — <br />......................... I.......................... <br />::::::::::::::::::: :::::::::::r✓ ............:::: E <br />................................. <br />::::: ::::f:: :::: ::::::::::::::::: ..... <br />............I........I............ �..... ......... <br />.................................................... <br />..................... <br />... <br />......:::::::: <br />... ..................................I ...... ........ <br />... ..................I.............................. <br />... ......I.. ...................... i <br />..................................................... <br />................I.......... .. <br />...................I....... ....................... <br />................... <br />............................................. .. <br />Date map was drawn 61 6111-51-0 <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System <br />Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: <br />monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary <br />containment areas; mechanical or electronic line leak detectors; and in -tank liquid level probes (if used for leak detection). In the space <br />provided, note the date this Site Plan was prepared. <br />Monitoring System Certification Page 4 of 4 12/07 <br />4 2/21/07 <br />