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UNDERGROUND STORAGE 1_•k NK MONTTORING SYSTEM CERTIFICATION <br /> Permit Number; <br />.....,.,..,.. -.+r.F...- •.ulili+�/l.Wi ,:. ,-,..� � :..,.,x,..,aaeet,rF-aRYs;iF'+�:c...;:etiw��a....... .new..e..,yWA1iN,�«�,.-..s,.n.Mvw�..,..�•m, <br /> IUST Monit©rincy Site -ia>c <br /> Site Address: j.� ! y�,se---I P _. <br /> . . . . . . . . . . . . `�e k t {'t_. . . . . . . . . . . . . . . . . . . . . . . . <br /> `f to • "ti�i•Z. t��. +����. <br /> i 1 . . . . . <br /> . . . . . . . _ . . ; .. ,•�, u,_,,. . , .. . . . . . . . <br /> .� . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . .6A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . �GS� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . <br /> . .r <br /> di . . . . . . . . . . . . r� . . .© O <br /> . . . . . . . . . <br /> . 1 . . . . . . . . . . . . . . . . . . : :co <br /> qk <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Daie man 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 <br /> Monitoring System Certification. On your site plan, show the- general layout of tanks and piping. Clearly identify <br /> locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular <br /> spaces, sumps,.dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak _ <br /> detectors; and in-tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan <br /> was prepared. <br />