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Monitoring System Certification <br />UST Monitoring ghe Plan RECEIVED <br />Site Address: � i�� r I"lA`` `,, 7 2014 <br />Date map was drawn; .'a j2�./� <br />1WI.ructions <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 lacations of the hallowing <br />equipment, it 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 [oak detection). In the space provided, note the date this Site flan was prepared. <br />Page 4 of 4 <br />UN.436 — 616 <br />xww.unidocs.ur•g <br />Rev. 0t/17/QS <br />2L^9Ol �dWO� 1S(W�3 9S ZCbT�c-b?-JdWS:t7'd S� <br />