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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page s of 6) <br /> XVI . MONITORING SITE PLAN <br /> Fsiite 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 /> Monitoring system Certiriication <br /> U ST Monitoring Site Plan <br /> - - - - - - - - - - -- - - - - - - - - -- - - - - -- -- - -- -- - - <br /> - - - - -- - - -- - - - - - -- -- - -- - - - ------- -- - - - - - - - - ----- - <br /> • _ _ _S;teAddress, _ I Charter Way Chevron 508 W Charter Way Stockton, CA 95706 <br /> KEY . . . <br /> A = ANULAR +PIPL\G } <br /> F = FILLS TLS <br /> T = TLRBL�7E (.A1RRO�l�S) <br /> Drawing ofpiptng <br /> P = PROBE More exit ct'sump and <br /> I' VAPOR UDC's. \o <br /> F. = SUNIP SENSOR underground <br /> L = Leak Detector dtaning is <br /> Iai = lhfamcal accurate, tun <br /> B = BrineSensor cannot speculate <br /> I = Smart Sensor blue prints. <br /> S = STP /r ' <br /> C = Floats & Chaios <br /> E = £ Stop . . . . . <br /> . . . . . . . . . . . . . . . . . . . <br /> n " <br /> C C <br /> �0 <br /> 87 <br /> 910a <br /> 87 <br /> Charter Way <br /> _jrls• crena mrf'r-o rear/rbcs m-a nor ticible ro 9Y ceiY[fiing tLnlnricfnrr Lire a <br /> p'gfe;Bier=xlopfracrrarait• mrlrn-asde�t-ja- irfornnriornlprrpx �. Drmrirg <br /> aura �cnie <br /> Date map was drawn t0-0-17 <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 Certification. On your size plan, <br /> show tte general layout of tanks and piping. C?aarly identify lora€ons of the following equipment, if installed: monitoring system control panels; sensors monitoring tank <br /> annular spaces, sumps , dispenser pare, spill containers, or other secondary containm=ent areas: mechanical or electronic line leak detectors; and in-tank liquid level <br /> probes (if used for leak detection). In the space provided, note the data this Site Plan was prepared. <br /> LEGEND <br />