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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—MOE'S PACIFIC 6131 PACIFIC AVENUE STOCKTON CA <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> C . . . C. . . . . . . . . . . . . O <br /> 87 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O�O <br /> . <br /> . 91 O T . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O L . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xO <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . <br /> T <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . O . . . . . <br /> . . . . . . . . . . . . . . . . DIE x L . . . . . . . <br /> KEY . . . . . . . . . . . . . . . . O x . . . . . . . <br /> A=ANNULAR Sensor . . . . . . . . . . . . . . . . . . . . . . . . . <br /> F=FILLS . . . . . . . . . . . . . . . . . . . . . TL . . . . . . . . . <br /> V=VAPOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> P=PROBE . . . . . . . . . . . . . . . . . . . . . . . . . . . x . . . . . . . . . . . <br /> L=Turbine/Leak Detector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> x=SUMP SENSOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . *PIPING* <br /> B=Brine Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drawing of piping <br /> S=Smart Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . exit of sump and <br /> C=Floats&Chains G— <br /> UDC's.No <br /> E=E Stop rActrrc AVENUE underground <br /> drawing is <br /> accurate,we <br /> Any items underground that are not visible to the certifying technician are a cannot speculate <br /> professional opinion only and are solely for informational purposes. Drawing blue prints. <br /> not to scale <br /> Date map was drawn:8111/21 <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 6 of 6 <br />