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Monitoring System Certification <br />UST Monitoring Site Plan <br />Site Address: CJ�•L CN'r%' 4 ' - <br />....................................... <br />........................................ <br />....................................... <br />....................................... <br />....................................... <br />.................................... <br />..................................... <br />................................... <br />.... ................ <br />................................ <br />.....ex,.: ...... <br />......... <br />... <br />Date map was drawn: 5 �/ 3 <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 <br />System Certification. On your site plan, show the general layout of tanks and piping. Clearly identify locations of the following <br />equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, dispenser pans, spill <br />containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in -tank liquid level probes (if used <br />for leak detection). In the space provided, note the date this Site Plan was prepared. <br />Page 4 of 4 <br />www.unidomorg Rev. 01/17/08 <br />UN -036 — 616 <br />