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Overfill Prevention tquip,11-""' El 36 Month <br /> ❑ Installation Lj Repair <br /> TYPE OF ACTION <br /> 1 FACILITY INFORMATION <br /> ^r^^ underground Storage Tank <br /> Monitoring System Certification Form <br /> 10. MONITORING SITE PLAN <br /> Date site plan was prepared: <br /> y p if a site plan has been prepared that shows all required information, you may include it, rather than t .us page, <br /> E of stem(certification Form. The stite plan must show the general layout of tanks and <br /> qC with,VourMonitoring Sy locations. Include <br /> _ 38 <br /> Fq LC tt identify locations of the monitoring panel, and all leak detection equipment and monitoring <br /> 'i a le cand for all symbols depicted. <br /> RS <br /> 1,92251 <br /> UST M-01-9 ste Fian <br /> � ZZJr Meni2orirtp System Cernrmahcn <br /> 1tl oads �'^405 Scuth Hip h ay 49 4tocNton.CA 45205 <br /> n ty Nam <br /> Arch R S is Ada—s <br /> _—_---- <br /> '4f d KEG. <br /> �� _ - g=FILLS <br /> QV h T=1 'BLN <br /> 1 p=PROBE <br /> 1.1/P, - 1=S111P SENSOR <br /> r- L=Leak Detector <br /> I e: ]I=Nbv"a. <br /> B=Brioe Sensor <br /> dd 89 I=Sdart Sensor <br /> wit ,l' S=STP <br /> _ C=Floats&cltai- <br /> 'Cl ,---- E=E Stop <br /> 9 <br /> 5. x { <br /> /f <br /> =PIPING <br /> Re <�aO1r"S <br /> Dr<=i__of <br /> OrOt v-Fr.=eut ci <br /> tha =der�ot>s_ <br /> 3ratt�.;: <br /> >er ac&I,aI =E 4 <br /> :at>=x aFeniate <br /> b:ue t Y ~ <br /> /j � <br /> 1l7( •`-'TORE :LTG <br /> .4rF irtrtr rnafrporarlrhar m'e rror tiaobJe to rhr eirrlfiins rarbridrtr; a a.___ <br /> pgfia low,opliforrorhmef flop adeh.f.irfornnnairriptrpats Am uw <br /> la7f rO:C(1r <br /> t)ate map wall drawn:L.-r-191 <br /> In t ictionf <br /> I you alrea-y have a mag•am trat shows a required Inrormaoon you may include 3.rather than this paye,wit,your tdonitoring System Cen I:canon Gn your srte plan, <br /> shnr r-e;ene,a layout of tanks and p,,mg Clearly denoty 1ocatons or the following equgment of installed mdnaon:g system crtol panels;sensors mortitw—g tank <br /> ;rn i a•spaces,s-rrps :ispenser pans,spill ccrtamera,or other se---:iary containment areas mecha^ical o,e'ectron�c itne leak detenors:and in-tank Ilq�• -,e <br /> :rote;:.d used Its ell•detectcni. In the scace proaded,note the date this Sde Purr was prepa.ed. <br /> Page 6of6 <br />