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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 /> UST Monitoring Site Plan <br /> Site Address: KETTLEMAN CHEVRON 601 KETTLEMAN LANE LODI CA 95240 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ... .. . . . . . . ..1.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . 7. . . . . . . . . . . . . . . 9. . . . . . <br /> . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> x <br /> . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> .3. .4. . . . . . . . . . . . . . 5. . . . . . . . . . . . . . .11. 2. . . . . <br /> . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . x . . . . . . . . . . . . . . . . x. . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> © x x .O. .KEY. <br /> 9 1 A=ANNULAR Sensor <br /> ©xO 87E 87E x F= <br /> FILL <br /> O O O . . . . . . . . . VAP V=VAPOR <br /> O DIE P=PROBE <br /> 0O L=Turbine/Leak Detector <br /> x O X=SUMP SENSOR <br /> B=Brine Sensor <br /> .VENT O . . . . . . . . . . . . O x S=Smart Sensor <br /> . . . . . . . . . . . . . . . . . . . . C=Floats&Chains <br /> . . . . . . . . . . . . . . . O O O E=E Stop <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . .OVERFILL ALARM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> *PIPING* C-.STORE <br /> (ARROWS) <br /> Drawing of piping <br /> exit of sump and <br /> UDC's.No <br /> underground <br /> drawing is accurate, Any items underground that are not visible to the certifying technician are a <br /> we cannot <br /> speculate blue professional opinion only and are solely for informational purposes. Drawing not to <br /> pits. scale. <br /> � � <br /> (r <br /> � )- Date map was drawn: 7/27/21 <br /> Instructions <br /> If you already have a diagram that shows all required information,you may include it,rather than this page,with your Monitoring System Certification. On your site plan, <br /> show the general layout of tanks and piping. Clearly identify locations of the following equipment,if installed:monitoring system control panels;sensors monitoring tank <br /> annular spaces,sumps,dispenser pans,spill containers,or other secondary containment areas;mechanical or electronic line leak detectors;and in-tank liquid level <br /> probes(if used for leak detection). In the space provided,note the date this Site Plan was prepared. <br /> Monitoring System Certification Page 4 of 4 <br /> Page 6 of 6 <br />