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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 10. MONITORING SITE PLAN <br /> Date site plan was prepared:9/11/2025 <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 /> S:�eAdtlres STJOSEPHS HOSPITAL 184dH-CALIFORNIA STREET STOCKTON CA M21)4 <br /> yy Cemetery .� <br /> T. N. . . . - . . T- <br /> sPIPE G <br /> D=vmz of pia=_exit of ALL DAY�r <br /> a,mp and Ul)C,s <br /> NO haliefE and <br /> drattimg i=_ . . . . . . . . . . . . . . . I . <br /> accurate,rive <br /> ranrot speculate .. .. _ <br /> blue prints. <br /> A?W ibmL uruiargroundzhatane iioryrsibfa ra the eRyd-ingfackwian are a <br /> profarionai opinion on&and maso�e{r for ixl{ornamionmrgwpo�e. DYa trr <br /> nor ro:ease <br /> i <br /> . . . . . . . . . . . . <br /> Oatemapwasdrawn 10-21-0 <br /> Inshuctinns <br /> If you already have a diagram that shows ag required information_you may include-4 rather:han this page,with your Monitoring System Cart:flcatlon. On your she plan, <br /> show The general layout of tanks and piping. Clearly Aentify loca65rs of she following equipment.if installed:monftoF tag system CCMV31 panels;sensors manktorkQ hank <br /> annular spaces,sumps,dispenser pans,spill containers,or other secondary oontautrhent areas:mechanical o�erec&onrc line leak detedurs;and in-tank liquiJ Leuet <br /> probes(if used for leak detection). In the space protmded,note the date!his S its Pra r.was prepared. <br /> Page 6 of 6 <br />