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Monitoring System Certification <br />Site Address: <br />tECEIVED <br />UST Monitoring Site Plan AUG 0 9 2017 <br />STORE <br />,,.1, 1-{P,p,_I TH <br />tOm <br />. . . . . . . . . . . . . . . . . . . . . . I . . E -STOP. . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . VENTS. . <br />...................................... .................. .... ... 00..0 <br />............... ..... I........ . O.. <br />CAS. . . <br />Date map was drawn: <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, <br />show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank <br />annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in -tank liquid level <br />probes (If used for leak detector). In the space provided, note the date this Site Plan was prepared. <br />Monitoring System Certification Page 4 of 4 2/21/07 <br />