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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 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 /> Site Address: DIEI.7ARRC(7 +I40 34f' tIARTEtt 1N1# -Sq'OCtCfON £A 9521 <br /> Charger Way <br /> . . . . . . . . . . <br /> . 1 s 2 6. . 5. _ . . . . . . <br /> . . . . . . . . _ . . _ _ . . . . . . . . . . . . _ . . - . - <br /> STORE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> It I <br /> 3. <br /> . I I <br /> - - - - - - - <br /> - <br /> S1 1 . 11 . 1 . . . . . . _ . - . 1111 <br /> g 87 <br /> ¢ . �' <br /> A = :�1PL\UL:1R <br /> F = FI TS <br /> T = TURBM <br /> *PIPING } . 91 . . . . . . . P = PROBE <br /> Drawing of sump and piping V = VAPOR <br /> exit of sumr a 1 V . - - X = SU361P SENSOR <br /> - - <br /> UD05. 3do . . _ . . . L =Leak Detector <br /> underground a Df = bfant2^ <br /> drawing is t 3 } B = Brine Sensor <br /> accurate, we / A I = Smut Sensor <br /> cannot speculate - - - - - S = STP <br /> blue prints- C = Floats & Chains <br /> QUASH E = E Stop <br /> .d.rf.v itens ur&,rgroto-rd ties^ m e not visible to dw ceiii6ing t4wiariefan ere a <br /> Frq/Rrsietrrl nFiraore or;'t^ aryl cre scde,��fa- irp'onrrrtmrrrl prngx•s. Drrn�ing <br /> rnt to Bede <br /> MOM <br /> Instructions <br /> lfyou already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, <br /> show the general layout of tanks and piping. Clearly Identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank <br /> annular spaces, sumps , dispenser pans, spill containers, or other secondary containment areas: mechanical at electronic line leak detectors; and in-tank liquid level <br /> probes (if used for leak detection). In the space ptovuted, note the date this She Plan was prepared. <br /> LEGEND <br />