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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 10. MONITORING SITE PLAN <br /> Date site plan was prepared: <br /> If a site plan has been prepared that shows all required information, you may include it, rather than this page, <br /> with your Monitoring System Certification Form. The site plan must show the general layout of tanks and <br /> identify locations of the monitoring panel, and all leak detection equipment and monitoring locations. Include <br /> a legend for all symbols depicted. <br /> Monitoring System Certificatmn Wriftsitg System Certification DSTMonitarhtg Site Plan <br /> SiteAddaess: LAKEWOOD CHEVROtf 23&N.HAM LANE LODI CA 95200 <br /> Fpm G� <br /> (_RtOhV5) <br /> . . . . . . . . . . . . . . . . . . <br /> I rawinE of pipLug <br /> 3 t cf sump and <br /> 4 <br /> UDC's.>o <br /> imder Em Lord . . . . . . . <br /> we calmoS . <br /> ej]eCUtdtC blua - <br /> prints. . . . . . . . . . . . . <br /> �.a ��r <br /> _ . . . . . . . . . . . _ . . . . . <br /> } x <br /> . _ k <br /> 71 KEY <br /> A—AUNwULAR <br /> F=FILLS <br /> T=TIMBLE <br /> . F=PROBE=VAPOR <br /> . . x=FT"I F SEWS OR <br /> . . . . . . . _ L=PLLD <br /> 1. 2. . . . Ni=lhmwati t <br /> z B=Brine Sensor <br /> I=Smart 5emor <br /> . <br /> C=Floats&Ckai m <br /> OFFICE <br /> ire;ilart�rrreiargr mu�f llama tae moS 17.71Ne fa fila ccv7 ing faclaeierare us a <br /> rgh'essiarrdOpt—a 6 nrrd—sde6 Ji- Drcarixg <br /> raf is ssda <br /> Date rrap was drawn:113-19. <br /> Instruetfons <br /> If you already have a diagram thin shows ala required information.you may include$rather than this page,with your htoneoring System Certifrcafion. On your site plan. <br /> show tbe general layout of tanks and piping. Clearly identify tacamons dthe tollDwing equipment,ff installed:manitoting system central panels;sensors monitoring tank <br /> annular spaces,sumps,dispenser pans,spill containers,or other 5emxtdary conlaiimeut areas:mechanical ca eieelronic line leak deteelors;and in-tank liquid noel <br /> probes{ff used for leak detection). In the spate pcowded,note the date This Site Plan was prepared. <br /> Page 6 of 6 <br />