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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 Certification <br /> UST Monitoring Site Plan <br /> Site Address: Countryside Mini Mart-14971 N.Hwy 88 Lodi CA 95240 <br /> HIGHWAY 88 ICY <br /> A=ANNUAA <br /> CC6 .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . F=I'MLS <br /> verrrs. CA 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T=TURBINE <br /> P=PROBE=VAPOR <br /> . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . <br /> X–SlE1W SENSOR <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> L=L—hDe4mtax <br /> ...4. ... M=Matmyr <br /> ... .. . . <br /> B=Brim Seneox <br /> . T A L I–Snmrt Se>�or <br /> . . . . . . . . . . . . . . . . . . x . . . . . . . . . S=SIP <br /> ... .. . ... .. . . . . . . .. . . x . ... . . . . C=Fba*�1&Chains <br /> . . ... . . . . . .. . . ... . . . . . . . ... . . . . . . . PIPING <br /> P x x <br /> . <br /> V .87. . . . . . . . . . . . . (ARROW) <br /> . . . . .. . . .2. . . . ... . . . . . .. . . . . . . .. . . . . . g�Dr-- pting <br /> T <br /> .. ... ... ... ..... eai ramp axd <br /> x T p UDC',.No <br /> undegrouxd <br /> . x L drawing is---te, <br /> .. ... .. - ... . . . . . . . . . . . . . . ... . . . . . ..... . . . . . . <br /> we count <br /> ... .. . . . ... . ... ... .. ..... sPeculate6bie <br /> . _.J <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . T L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> x <br /> DSL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ODSL. <br /> STORE <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . .. . . . . . .. . . . .. . . . . . .. . . . ... . . . . . . . . . . . <br /> . . . . . . .. . . . . . . . . ... . . . . . .. . . . . . . . . . ... . . . . . . . . . . . . . . <br /> . . .. . . . . . . . . . . . . . . .. . . . . . . . ... . . . . . . . ATG <br /> A'�iI— '-N.1.ri.cw1r,( g1�Ismiun uea <br /> Fr-�ssiaaxl�rxon o��u.da-a sde��f i�rnHalpu�px�-➢�xaring <br /> aW fo scd¢ <br /> Daterrapwasdrawn: R.sd3-1418 <br /> Inshucti ors <br /> If you al ready havea dia gram that shows all requiredinknmation,you may in du deft,rather than this page,with you r Monitoring System Cerdication. On yoursite plan, <br /> show the general layout oftanks and piping. Clearly identify locations o fthe follow ing eq uipment,if installed:mo nim ring system control pan els;sensorsmonitoring tank <br /> annular spaces,sumps,dispenser pans,spill containers,orother seeondarycmnainment areas;mechanical orelectronic line leak detectors;and in-tank liquid level <br /> probes(f used for leak detection).In the space P—ided,notethe date this Site P Ian was prepared.. <br /> M oriton ng System Certifi cati on Pa ge 4 ct 4 M l i!37 <br /> Page 6 of 6 <br />