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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 /> -------------------r-------------------------------------------------------------------------.---------------.. <br /> t Site Address ST JOSEPH$HOSPITAL 4J1Ufl H.CAUFORNJA STREET STOCKTO N CA?S 2,4 <br /> -------------- <br /> - Ft. _ . . _ _ _ _ . _ rx <br /> FrPIPL\G} . . . . . . . . . . . . . . . . . . . . . . . .. _ . . _ . _ _ . . . . . . . . _ . _ _ . <br /> (hRRMYS) <br /> Ihanzaigt . . . . . . . . . . . . . . . . . . . . . . . . _ . . _ _ . . _ _ _ALL DAY f _ <br /> grtrin{eut of <br /> a,mp and UDC,s _ . . . . . . . _ _ . . _ _ . . . . .. _ . - - - - - <br /> No tmdffaound . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . <br /> dMIVEtlg is _ . . . . _ . . _ . . . . . _ _ . _ . . _ . . . . . . . . _ . . . - - - - - <br /> ac=.ate,we . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . <br /> cattnot�-„late . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . <br /> blue paints. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . _ . . _ . <br /> APW ik-wu roads ground zhW are nor risible to the ew��-ing technician are o <br /> proikEivnuiopinionon&audore svle&forix�{arrinmiw�fparrpose�. Dr¢wrgg <br /> norm scale <br /> . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> [Sate map was drawn 1421-15 <br /> Inshucfions <br /> If you already have a diagram that shows aN required information_you may irtclude it rather%han this page,with your hlonisodng System Cert-ification. On your side plan, <br /> sham the general layout of tanks and piping. Clearly Aentify locations of the following equdprneat,if installed:manitoF"system control panels;sensors monitoring tank <br /> annular spaces,sumps,dispenser pans,spill containers,or other secondary contait rent areas:mechanical or elkmimntc line leak detectors;and rn-tank liquO Deme! <br /> probes(if used for leak delection). In the space pnntri ied,nate the date chis Site Plan was prepared. <br /> Page 6 of 6 <br />