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SEP 17 2013 <br /> address: _ Date of TeaangrsorvtafV <br /> n� VIRNt- <br /> HEALTH DEPARTMENT <br /> Monitoring System Cerflikation <br /> UST Monitoring Site Plan <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> 3 "vr4PaR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Date map was drawn: llLlG. <br /> Intttructlon <br /> If you already have a diagram that shows all required information, you may include it, rather than this page, with your <br /> Monitoring System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify Oocanons <br /> of the followiiig equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, <br /> eraser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in- <br /> tarh liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. <br /> -- Page —of oS�s0 <br />