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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page s 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 contain gnt1 711 , <br /> line leak detectors; and 11) devices monitoring any other secondary containment areas. <br /> Monitoring System Certification <br /> UST Monitoring Site Pian <br /> Site Address : Countryside Mini Matt - 14971 N. Hwy 88 Lodi CA 95240 <br /> HIGHWAY 88 ����! <br /> VENTS . �. .CAS T = TURBINE <br /> P = PROBE = VAPOR <br /> X = SU113P SENSOR <br /> L = lAmdrI?eiector <br /> 4 . M = M� <br /> . B = Bays Sen n <br /> T A L I = Smmd Seg <br /> x S = SLP <br /> x C = Fbatr & Cha nx <br /> . 3 <br /> *PIPING * <br /> 4 v J S7 . (ARROWS) <br /> exit ofs rnp and <br /> x T P �l UDC 's . No <br /> 1 . undergnmrd <br /> x L drawing is accurate, <br /> we canrxA <br /> speculatebbre <br /> Prints <br /> Y 91 . . <br /> . T L <br /> x <br /> DSL <br /> : . : . I��JI : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STORE <br /> . ATG <br /> _4rf• ifenL rot risible to 11 se170mgrviWitfmr crea <br /> �a-gfessferal oyiraerran4• arrl� s sdehfairfbnrnrrornlprn}u:�- Ih-tn ring <br /> rrot to secde <br /> Oatemapwasdrawn : Rvsd3- 14-18 <br /> Inch_ <br /> If you already have dia gram that shows all required information , you mayin du de it, rather tha n this p age , with you r Monitoring System Certilcatlon . On your site plan , <br /> show the general layo ut of tanks and p [ping . Clearly identify locations o fthe follow ing eq ulpment , if Installed : mo nitoring system control pane Is; sensors monitoring tank <br /> ann ular sp ace s, sumps , dispenser pans, spill containers , o r other secondary containment areas ; meth anioal or electronic line I eak detectors; and in-tank liquid level <br /> prob es (if used for leak d etection). In the space provided , note the date this Site Plan was pre pared . <br /> Monitoring System Certification Page 4 of 4 MlW <br />