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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: SYNERGY—KWIK SERV 950 W. 11 T"STREET TRACY CA 95376 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> WEST 11TH STREET <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . *PIPING* <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ARROWS) <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drawing of piping <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . exit of sump and <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UDC's.No <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . underground <br /> . . . . . . . . . . . . . . . . . . . . . . . . drawing is accurate, <br /> O O O TL P we cannot <br /> X speculate <br /> eculate blue <br /> X X prints. <br /> . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> O O O TLP . . . . . . . . . . . . . . . . . . . . . . . . . <br /> X <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> R . . . . . . . . . . <br /> 0 0 0 TLX P <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> .CARBON 0 <br /> . CANISTER. O <br /> . . . . . . . . . . . . . . . . . KEY <br /> . . . . . . . . . . . . . . . . . . . . A=ANNULAR Sensor <br /> . . . . . . . . . . . . . . . . . . . . F=FILLS <br /> V=VAPOR <br /> . . . . . . . . . . . . . . . . . . . . . . . . <br /> P=PROBE <br /> L=Turbine/Leak Detector <br /> ATc X=SUMP SENSOR <br /> B=Brine Sensor <br /> S=Smart Sensor <br /> C=Floats&Chains <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E=E Stop <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . AiD-itenrrrrdarmoradilmdamrxaysiM,tothaservir?,-1warrcrnreaea . . . . . . . . . . . . . . . <br /> �rassrarorlaprrewear�iar�{tresolefarrrarnutio-mlprapx� Drmriru <br /> nvt!o:ct�e <br /> Date map was drawn:8/13/21 <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 2/21/07 <br /> Page 6of6 <br />