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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 /> UST Monitoring Site Plan <br /> - - - - -- -- -- -- ---- -_ ------ - -__ _ ----- - --- - - -- -- -- ---- ---- - - - -_ __ ________ <br /> SiteAddress: 6437WBanner Rd — Lodi CA <br /> 000 <br /> cu _ Vents . . <br /> 3A0(: V OT . . - . . . . . . I <br /> X <br /> . . . . . . . . m . . 87 m . . . . . . . . . . . . . . . <br /> F V P F V P T <br /> X X <br /> DIESEL 91 m 1111 . . . _ <br /> . . . . . . . . . . . . . . . . . . . . 1111 - . . - . - . . - . . - 1111 . . . - 1111 . . . <br /> . - 1111 . . . . . . . . . . . . . . . . . . . . . . . . - . - . . - 1111 . . . <br /> . . . . . . . . . I . . . . . . . . . . . . . . . . - . . . . . . . . . . - . - . . - . . . . . . I <br /> to . - . . _ . I . . - - I • <br /> 2- <br /> 1 4 1 1 1 1 1 1 1 <br /> -. . . - . - 1 . 111 . <br /> _ - - ale el only. <br /> . 1 . 3 . . . . . . . . . . . . . . . . . . . . . <br /> KEY . . I I I m I m I - • . - - - . . <br /> A = IPLVUL IR . . . . . . . . . . . . . . . . <br /> *PIPING } <br /> F = FILLS (ARROWS) <br /> T = T URBLSE Drawing of piping <br /> P = PROBE 13 , exit of sump and <br /> V = V_1POR UDC's. \o <br /> X = SIA IP SENSOR underground <br /> L = Leak Detector m . ' ' • . . . . • draining is awimUtw <br /> &I = AI2nvrs, . . - . . _ . . - I naacannot <br /> B = Brine Sensor m 0 1 1 • - 1 1 1 1 1 0 . • - • - speculate blue <br /> I = Smart Sensor I - - - - - - • - - - - - - - - prints, <br /> S = SI? <br /> 15 . 7 - <br /> C = Floats fi Chains <br /> E = E Stop <br /> Arttn- items widerground that are trot visible to the cerij ing tecknician are a <br /> prglesafotwl opinion only and are soletujor nlformational ptoposss. Drawing <br /> not to scale <br /> Date map was draym: 03128118 <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 identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank <br /> annular spaces, sumps, dispenser pans, spill containers, or other secondary contairrntent areas; mechanical or electronic line leak detectors; and in-tank liquid level <br /> probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. <br /> LEGEND <br />