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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM ( Page s of 6) <br /> XVI . MONITORING SITE PLAN <br /> Date site map was prepared : <br /> If you already have a site plan that shows all required information, you may include it, rather than this page, with your Monitoring System <br /> Certification Form. The site plan must show the general layout of tanks and piping and clearly identify locations of the following equipment, <br /> if installed: 1) monitoring system control panels; 2) in-tank liquid level probes (if used for leak detection), 3) devices monitoring tank <br /> annular spaces or vault; 4) devices monitoring product piping; 5) devices monitoring fill piping; 6) devices monitoring vent piping; 7) devices <br /> monitoring vapor recovery piping; 8) devices monitoring vent/transition sumps; 9) devices monitoring under-dispenser containment; 10) <br /> line leak detectors; and 11) devices monitoring any other secondary containment areas. <br /> UST Monitoring Site Plan <br /> r — - - — -- - - -- -- - -- - - - - -- - - -- -- - - - - -- - - - -- -- -- - - - - - - -- - - - - - - - - - - -- - - --; <br /> Site Address: THORNTOtY CHEVRON 9015 WALNUT GROVE ROAD THORNTON CA 95668 — <br /> _� CHE %aON STORE <br /> C7 I <br /> ITir tPIPI'G }(ARROWN <br /> BDrav,ingofpipingexit of sump and c _ x UDC's. Irounderground 3CSJd 4pS cannot speculate <br /> blueprints, ti ` <br /> 12- L01 I <br /> l - <br /> — 1_ WALNUT GRO1 E ROAD KEIT �— <br /> A = AN.NUAR - - <br /> F = FILLS - - <br /> T = TURBLNE <br /> P = PROBE - -- <br /> V = VAPOR <br /> . Y = SU\tP SEi!QSOR - -- <br /> L <br /> -4r.• itene «trk7Worarl9rre m-e not %isible to O cei [timg t•rolariciarr Ice a I 5enaor <br /> — FQfessiorrrloFirdwton(i crezlrresde�e ,fw ir/onmtromlFru�xc�. Drrnring S = STP <br /> mtrosede . . . C = FIGIL3 & mina <br /> —� Date map was drawn: 4.+9f 19. <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 CerhTication. On your site plan, <br /> show the general layout of tanks and piping. Clearly identify locations of the following equipment, I installed: monitoring system control panels; sensors monitoring tank <br /> annular spaces• sumps, dispenser pans, spill containers, or other secondary containment areas. mechanical or electronic line teak detectors; and inAank liquid levet <br /> probes (if used for teak detection). In the space provided, note the date this She Plan was prepared. <br /> LEGEND <br /> I--I-t <br /> I FI I � � T <br />