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10 MONITORING SITE PLAN <br /> r <br /> Facility Address: I�f y t <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 <br /> this page with your Monitoring System Certification Form. The site plan must show the general <br /> layout of tanks and identify locations of the monitoring panel, and all leak detection equipment and <br /> monitoring locations. Including a legend for all symbols depicted <br /> RECEIVE <br /> FEB 0 4 2022 <br /> ENVIRONMENTAL HEA TH <br /> DEPARTMENT <br /> 4 000 <br /> f <br /> U ,Ism"'' <br /> Ore <br /> 00 <br /> 1W 6 <br /> Q <br /> Page 10 of 10 <br />