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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 ventltransition sumps; 9) devices monitoring under-dispenser containment; 10) <br /> line leak detectors; and 11) devices monitoring any other secondary containment areas. <br /> UST Monitoring Site Plan <br /> - - - -- - - - - - - - - - - - -- - <br /> SheAddress_ ! VMDBRI )BEAIcfPM18806LOWER SAM "EENTOROAD WOODBRMGE CA 95258 ' <br /> ATC - _ _ EMERGENCY STOP *PIPLNCe <br /> . . . . . (ARROWS) <br /> . . . . . . . . - - - Dratvineofpipiug <br /> - - - - - . _ _ _ - . . . . . . . _ . . exit of sump and <br /> UDC's. leo <br /> Underground <br /> . . . _ . . . . - - - . . . drawing is accurate, <br /> I've c2nnot <br /> speculate blue <br /> KEY <br /> 1 = ANNULAR <br /> P% F O Tt p F = FILLS <br /> DIE _ T = TLRB1NE <br /> P = PROBE <br /> . . . . . . . . . V = VAPOR <br /> . . . . . . , _ , X = SUMP SENSOR <br /> QL = Leak Detector TL a 87. . .. . Al = r sur ay <br /> B = Brine Sensor <br /> VENTS . - _ . . . . . . . . . . . . . I = Smut Sensor <br /> coo S = STP <br /> C = Floats & Chains <br /> E = E Stop <br /> -iryt• irene urr1:•rgrmorl rlrm m e nm tf4ible ro rix cerr(�iirrg txlaritinrr cs e n <br /> p 4fes4imrrl opirdarr ori mrl nx solei fm ironrnriorcrl prrrg r x. Drmring <br /> nor ro4ccde <br /> Date map vras drawn: 4.949 <br /> Instructions <br /> If you 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 lientify locations of the following equipment, S installed: monitoring system control panels; sensors monitoring tank <br /> annular spaces, sumps , dispenser pans, spill containers, or other secondary containment areas: mechanical or electronic line leak detectors; and in-tank liquid level <br /> probes (if used for Weak detection). In the space provided, note the date this Site Plan was prepared. <br /> R ' VI= D <br /> LEGEND <br /> EG <br /> YY A <br /> AP ? 2 3 2019 <br /> ENVIRON ENTAIL HEALTI 1 <br /> DEPARTMENT <br />