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Monitoring System Certification <br />UST on.itorin Site lan <br />Site.Address* 357-5-5- GA, . � 'O Tri C i o <br />i� A <br />.. .. ._... .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />.. .. .a ..----•.... ....,.. <br />.. .. .. ......................:............... <br />. . . .{. :''''.. . _ . . . . . . . . . . . . . . . . . . . .•.r. <br />Q I/ <br />Date map was drawn: 6 / 1 �7 <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, with yo' <br />Monitoring System Certification- 'On your site plan, 'show the general layout of tanks and Ping- Clearly identi' <br />locations of the following equipment, if installeck monitoring system control panels; sensors monitoring tank annul <br />spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line Ie: <br />detectors; and in -tank liquid level probes (2f used for leak detection). In the space provided, note the date this Site PIS <br />was prepared - <br />L f OWN <br />Page ./of <br />