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UNDERGROUND STORAGE TANK MONITORING SYSTEM CERTIFICATION FORM (Page s of XVI. MONITORING SITE PLAN Date site map was prepared: If you already have a site plan that shows all required information, you may include it, rather than this page, with your Monitoring System Certification Form- The site plan must show the general layout of tanks and piping and clearly identify locations of the following equipment, if installed: 1) monitoring system control panels; 2) in -tank liquid level probes (if used for leak detection); 3) devices monitoring tank annular spaces or vault, 4) devices monitoring product piping; 5) devices monitoring fill piping; 6) devices monitoring -vent p1pirf d ices monitoring vapor recovery piping; 8) devices monitoring vent/transition sumps; 9) devices montf rt �undr diener cratfinert 10) line leak detectors; and 11) devices monitoring any other secondary containment areas.= �- .:.. tAonitoring System Certification • SAe_Address_. =[_3'L - 1013 UST Monitoring Site Plan ---------------- -•-------•---•--------- IF r g�(1•a�m t� —Pacific Avenue Chevron IF, 6633 Pacific Ave Stockton CA 95207 � H ,% F i" p; [:f,�J-f { j tFE ( II IFF - -:: 04 I IF ��-l.. _ t ..,.. { itFor 'IF - 3 l r j F i- _"I, d 1 ,...� .. �t s• i tsil a I t (I t _ yrs` ,RECEIVED ! f IFI II pr — F < Ins- IF ?li �_._-j �� {-4 111 — sI I FF — IF r I�F. z _._ �'• i 1 a-,, 1k _ .o- S b € tFIT IF In 0 - -_ _ .. . --' - - =- __ ._ I ti IF In IF IF, it i K .,..-,.. t Pat 'Wwwal rem' .rte... 1 �WQ% 6'AP+IY 1 , 11 IF IF ukwinn r'. f I _ -sI . t:;. mart ukwinn Date map eras drawn: tl2ga9 Instructions If you already have a diagram thatshows all required information, you may include 0. rather than the page, with your Monitoring System Certification. On your site plan, shovrthe general layout of tanks and piping. Clearly identify locations of the following equ°pment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas: mechanical or electronic line leak detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the data this Site Plan was prepared. ;C Date map eras drawn: tl2ga9 Instructions If you already have a diagram thatshows all required information, you may include 0. rather than the page, with your Monitoring System Certification. On your site plan, shovrthe general layout of tanks and piping. Clearly identify locations of the following equ°pment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas: mechanical or electronic line leak detectors; and in -tank liquid level probes (if used for leak detection). In the space provided, note the data this Site Plan was prepared.