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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 6 of 6) <br /> XVI . MONITORING SITE PLAN <br /> Date site map was prepared : <br /> If you already have a site plan that shows all required information, you may include it, rather than this page, with your Monitoring System <br /> Certification Form. The site plan must show the general layout of tanks and piping and clearly identi) locations of the following equipment, <br /> if installed: 1) monitoring system control panels; 2) in-tank liquid level probes (if used for leak detection); 3) devices monitoring tank <br /> annular spaces or vault, 4) devices monitoring product piping; 5) devices monitoring fill piping; 6) devices monitoring vent piping; 7) devices <br /> monitoring vapor recovery piping; 8) devices monitoring vent/transition sumps; 9) devices monitoring under-dispenser containment; 10) <br /> line leak detectors; and 11) devices monitoring any other secondary containment areas. <br /> Monitoring System Certification UST Monitoring Site Plan <br /> - - - - - - - - - - - - - - '- --- --- - - - - - ' - ' - - -- - - - - - --- - - -- -- --- -- - '- -- -- ' - - - - - - -- -- - --- - -- - - - - - -- - - - - - - -- - -- ' - -- - - - -- - - -- - " - ' - - - - - - - <br /> Site Address: i DANEERON HOSPITAL 525 ACACIA STOCKTON CA 95203 <br /> DA SEAIENT LEVEL MONITOR LA02 <br /> _ MECHANIC'S ROOM . . . . - <br /> . <br /> DIESEL LINE <br /> . . _ - _ _ . <br /> - . _ DROP OFF ENTRY - <br /> O 0 . PUMP & PIPING gvAgg�,,., . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . - - . . . . . . . . . . . . - . <br /> KEY <br /> ULA R <br /> PARKING L.S?.T,,,,. . . . . . . . A = Ar�-S <br /> - F = FILLS <br /> =PD?L�G } T = TZ7RBdiN'E <br /> (ARROWS) P = PROBE <br /> Draaving of . . _ _ V = VAPOR <br /> piping exit of - _ _ T = SU.% P SENSOR <br /> sumpandUDC's. . _ _ . _ . _ _ _ L = LeakDetector <br /> No tmderground . . . . . . _ _ . . . . . . . . . . AI= Dtaaavaa <br /> draavingis _ _ . . . . . . . . . . . . . B = BrineSettsor <br /> al;QyAta. a're _ . . . . . . . . . . _ I = Smart Senior <br /> cannot speculate % S = STP <br /> blue prints- <br /> V "► - E = Floats Chains <br /> E = E Stop <br /> ACACIA TREET <br /> Arts: items taidargrourst rluu are. nor visible to the ceri ff-ing teelotician ars a =rs_ <br /> ( pngfe.;riortal opfrlion on(v artd mesola[i+for irffazmatiorurl pmporss. Drawing <br /> not to scale <br /> Date map was drawn : 2113119 <br /> Instructions <br /> If you already have a diagram that shows all required information, you may include it rather than this page, with your M Dnitoring System Certification. On your site plan . <br /> shove the general layout of tanks and piping. Clearly identify beacons of the following equipment, it installed: monitoring system control panels; sensors monitoring tank <br /> annular spaces, sumps , dispenser pans, spill containers, or other seccndary containment areas: mechanical or electronic line leak detectors; and in-tank liquid level <br /> probes (if used for leak detection). In the spare provided, note the date this 5 ice Plan was prepared. <br /> LEGEND <br />