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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 />Mmita'irg System Cerfitio atim <br />UST ldonaoring Site Plan <br />She Address' Counttyside. mini Mart - 14971 N. Hwy 88 Lodi ::"A 95240 i <br />III GHIli 88 KEY <br />A = ANULAR <br />F=FILLS <br />Va Rrs..CRS T=IURBINE. <br />� � P = PR CBF. = VAPOR <br />.�� X - SIMP SCNSOR <br />. _ . . . . . _ . . . . / L = LeakDeketor <br />. . 4 . /' / M = Mayoral. <br />. / �AL H = $rineSensor�g > ./ /`l I_So�nr <br />ti = S.. <br />x C = FItwN R (la.oss <br />'PIPING` <br />2. O LRa1ru4. �!'ptpo:¢ <br />. �,. -A ,f.—p and <br />UDC'l NO <br />X L i—iti r, i ...—te, <br />. . . . . . . `./ :e canny <br />T Llf/. <br />X <br />J <br />� DSL <br /><1 <br />. 0 �. <br />STORE <br />. .......................... a <br />............................\��, me <br />.... ... ... .. <br />;I�k••.�'r:aif;7::L.Y•'E rl�::::tlt'J ti#,rr';":rl?:.': iJn:tm: lae .T <br />':'i iT'LtY+ai'r1:ir'u'.1xV;'r;p'F.a::f�•1t.:+'Ir��>litll:!%rkYi j»i!}Y: Cr i1tA':rtB <br />Datenepwasdrarun: Rvsd3-14-18 <br />Irsln cli nra <br />K\o. already have diagramlliz shows all required information, ;cu may include it, rather thanthis page,w@h%vir Mondoring System Cenitcatlon. nny»ursrteplan, <br />show the general layra oflanks and piping. CleartyddentifylocmionsoftheloMwingequipmem,iflnstalled:moni[oring stem control pane i;: sena.rs monitoring lank <br />annular spaces. sumps, dirpenser pans, split containers. orother secondary containment areas rnech ardoal or eie=nic line leak dewtors; and in -tank liquid !ewtl <br />probes (fused for leak detection). In Ure space protaded, weth•_ date dris Site plan a•as prepared <br />h1oritonng System Certification Paga 4cl4 2/2]J i <br />Page 6 of 6 <br />