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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 /> Monitoring System Certificatian <br /> UST hfonitoring Site Plan <br /> Site Address: Tracy. Chevron -3775 Tracy. Blvd - Tracy CA 65376 <br /> Date map was drawn: 03tt811 S. <br /> 2+�1t'67 <br /> RESIDENTIAL <br /> i"+7 51t1P' ITR 2c 4 wi Pub <br /> fwML WW VR 209 & A70 VR YAG <br /> A^AW01.AR VR 404 <br /> rG . . 4 <br /> TZ .. <br /> jJ <br /> b <br /> 409 <br /> 'Z FWD <br /> W"WAU1 F/4 <br /> Fes <br /> ' <br /> WX <br /> 13 <br /> 12 f 16 ,,, <br /> Instructions <br /> If you already have a diagram that shows a6 requited information, you may include it. rather than this page, with your Monitoring System Cettfioa6on. On your site planz <br /> show the g=-neral layout of tanks and piping. Clearly identify tocat-ons of the following equ;pment, if installed: monlosm-g system control panels: sansors monitoring tank <br /> annular spaces, sumps , dispenser pans, spill containers, or other secondary contamment areas: mechanical or electronic line leak detectors: and h4ank liquid level <br /> probes (if used for leak detection). In the space provided, nets the date this Site Ran was prepared. <br /> LEGEND <br />