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Underground Storage Tank <br />Monitoring System Certification Form <br />10. MONITORING SITE PLAN <br />Date site plan was prepared. 06/30/2022 <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 leciend for all svmbols depicted. <br />VR <br />STORE <br />87 SL <br />4❑3 2❑1 <br />8[j <br />5 F16 <br />Page 6of6 <br />