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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 6 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 rrtonitonng,;tank >,. <br /> At <br /> annular spaces or vault; 4) devices monitoring product piping; 5) devices monitoring fill piping; 6) devices nitorinq ;vent1p'ip, ing 7) ddVi6es, <br /> monitoring vapor recovery piping; 8) devices monitoring vent/transition sumps; 9) devices monitoring t)nd6�Vispenser contalnment,- ';1Q).- .--- <br /> line leak detectors; and 11) devices monitoring any other secondary containment areas. <br /> MAR Ci 3 ?TIq <br /> Monitoring System Certification <br /> UST6fonitoring Site Plan <br /> - - — , — - -- -- - - - - - -- - - - - - - - - - - - - - - - - - - -- -- - - - -- - - - -- -- - - —........ ENVIRONs`�'! ENTAL HEAL <br /> TH <br /> �_ _ DEPARTMENT <br /> Site Address _ I BENJAMIN HOLT ARCO 2908 BENJAMIN HOLT OR STOCKTON CA 95207 <br /> . . . . . . . . . . . . . . . . . . . . cas STORE <br /> x . <br /> . <br /> _ 87 (Da 87 master . . . . R <br /> SlaTe <br /> � , LTG <br /> X j 420 w - • . . . <br /> Oa <br /> -- r <br /> 91 X <br /> . <br /> r X X <br /> F <br /> 2x x <br /> _ . Product VjpjQ&,,,, - Vapor Pod _ <br /> L . . . . . <br /> RI . . I I _ <br /> KEY <br /> F = FILLS <br /> . T = TLRBL\E <br /> . . . _ . . . . . . . . P = PROBE <br /> *PIPING } X = SUMP SENSOR <br /> j Drawing of pipit L = Leak Detector <br /> entofsumpn . . _ - _ - _ xI = AfannMV <br /> UDC's. No B = Brine Spasm <br /> underground I = Smsrt Sensor <br /> j dranmc. is - - - - - - - _ - - - - - - - - - - S = STP <br /> accurate, ure - _ _ _ - - C = Floats & Chsias <br /> cannot peculate itis• itenetarkrrr-orarlthrum-eflatItibletofixcerrj{ in� rx)nicimrmea - - E = EStop <br /> blueprints. Wprgfesai01alopiraon40PAL • arrlcserolefi-fw DtznrirN <br /> Date mapwasdrawn: t72L10 <br /> Instructions <br /> If you already have a diagram that shows an required information, you may include a, rather than this page, with your lJonitoring System Certification. Onyoursile plan, <br /> sham the general layout of tanks and piping. Clearly identify Iocatons of the following equipment, d instalted: monitoring system mntci panels; s=ensors monhoring tank <br /> annular spaces, sumps , dispenser pans, spill containers, or other secondary containment areas: mechanical or eiectron1c line leak detectors; and in-tank liquid leveE <br /> probes (if used for leak detection). In the spars provided, note the date this Site Plan was prepared. <br /> LEGEND <br />