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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (page s of s) <br /> XVI. MONITORING SITE PLAN <br /> Date site map was prepared: 10/25/2019 <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 /> annularspaces or vault;4)devices monitoring product piping;5)devices monitoring fillpiping;8)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 /> Ste Address: STJOSEPHS HOSPITAL 1800 N.CALIFORNIA STREET STOCKTON CA 95204 <br /> yy Cemetery <br /> —► <br /> . . . . . . . . . . . . . . . . . . . T. N. . . . . . u <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> *PfFLtiG* . <br /> (ARROWS) <br /> Araai��of - . - . . . . . . . . . . . . . . . ALL 0AY . <br /> Piping ent of <br /> ;'L.;.d Ll)C's. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> NT4 tmderssortad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . • - <br /> dran•me u _ . . . <br /> accurate,we .- - - - - _ - - - - - - - - - - - - - - - - - - - . . . . . . . . - . <br /> ca=ot speculate . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . - . <br /> blue prints. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ✓�� p - - - <br /> AV funs ra.Jergrormd.nat ars not rr:ible to tFa certj&rg tecroucimr ars a . . _ <br /> prgf4 ions!oppdan onf y and ore:ols&for iq[orMonorurrpwpoz6m Drawirb <br /> not to scale <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . • . - - <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . <br /> . . . . . . . . . . - . . . . . . . . <br /> . . . . . . . . . . . . . . . . <br /> Dale map was drawn 10-21-10 <br /> Instructions <br /> If you already have a diagram that shows at required information,you may include iL rather than this page,with your Monitoring System Certification. On your site plan, <br /> shun the general layout of tanks and piping. Czarly identify ftarians of the following equipment,V installed:mondaimp system control panels:sensors monimm;l tank <br /> annular spaces,sumps.dispenser pans,spill contamers,or other secondary containment areas:mechanical or e'.ecuonic lime leak detectors:and in-tank liquid level <br /> probes(if used for leak detection). In the spam prowded nate the data this Site Plan was prepared. <br /> LEGEND <br />