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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 venYtransition sumps; 9) devices monitoring under-dispenser containment; 10) <br /> line leak detectors; and 11) devices monitoring any other secondary containment areas. <br /> usr reontronng ane rian <br /> Site Address_ KWIK SERVE 76 950 w. 11TH STREET TRACY CA 95376 <br /> WEST 11*" STREET <br /> . . . . . (.LRROWS) <br /> . . . . _ _ _ _ _ - Dtatring of piping <br /> emt of sump and <br /> LTDC's. No <br /> underground <br /> drawing is <br /> p ran*ot speculate <br /> S O k - . . bel prints. <br /> OOVX <br /> CD0 0 xP . _ . . . . I . . . . . . . . . . . . . . . . . . . . <br /> CARBON <br /> _ KEY <br /> CANISTER � - � � - <br /> Pl = :LY\Z7LAR <br /> F = FII.LS <br /> T = TL'REENE <br /> P = PROBE <br /> V = VAPOR <br /> _ . . _ . . . _ g = SIA fP SENSOR <br /> L = Leak Detector <br /> 3TG B = Brine Sensor <br /> C = Floats $ Chains <br /> . . E = E Stop <br /> irp irenL urrF rgr Drat rhta are nortisltrlB tP rite c-er7t5ir7g t�rla tiafnr, ra e n <br /> p-q(essicrnlopiram7ara mrlrnssde$ fcrirmnnrromingxe Drmrir�; <br /> rzrt st+ scde <br /> Date map was drawn : 8/1119 <br /> Instructions <br /> If you afreaa'y have a diagram that shows all required information, you may incfude it, rather than this page, with your Monitoring System Certification. On your site plan , <br /> show the general layout of tanks and piping. Clearly Aentify locations of the fallowing equipment, it installed_ monitoring system control panels; sensors monitoring tank <br /> annular spaces• sumps, dispenser pans, spill containers, or other serondary containment areas -, mechanical or efectronlc line leak det hors; and in-tank liquid level <br /> probes (f used for leak detection). In the spate provided, note the date ltVs Site Plan was prepared. <br /> LEGEND <br />