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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 : 1 /22/2020 <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 identify 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. {l <br /> Monitoring System Certification <br /> i <br /> U ST Monitoring rttePlan <br /> l - - - - - - - - - - - - - - - - - . . . . . . I . . . .. . . . . . — -. . . .. . . - -- -- - --- -- --- - - -- - --- - -- — - -- <br /> ;_ _ Site Adiress_ BEWAHIN HOLT ARCO 2908 BENJPMIR KOLTDR STOCKTON CA 93207 <br /> . , . : . . . STORE _ . a 1 _ 4 9 _ . : . . . . • <br /> x <br /> 87 87 Linter <br /> Slav <br /> `. OFA <br /> F <br /> X E. 420 - . U3.�_ . _ - <br /> g <br /> 91 x p 7 _ <br /> _ x P T : - : . _ . . . . - <br /> x Y <br /> Produel EjpkiQ - - Vhrnr Pod <br /> i <br /> = AA1UAR. <br /> I• — FILLS <br /> P =PROBE <br /> V =VAPOR <br /> �1'II'IlVG� k= STJSiP SENSOR <br /> 6�HIiOR'5) L =LeakDetector <br /> PiPiu9 mil of : S =BriaeSenror <br /> sun'p 3rA UI>C,a I = Smart Senior <br /> Na _ndarnraatd - - _ _ _ - - 5•I•P <br /> doo•inc is - - - - - - - - - C =Fkats Chains <br /> aeCmzt , s-e Ott, Irerruun rgurnrlilraarevorwibletotlacerr{liingre'frtlatnrarea E =E Stop <br /> canao' speculate p•cfcniarn] o�ataan of;� madnz raio{i+}Fa- irylb+•nnricar7pnpassy Llmrit�v, <br /> 6lssagdals. <br /> Date map wasdramn: 1�2811g <br /> Instructions <br /> If you already have a diagram that shows ag requNd informaf]on, you may imiuds it, rather than this page, with your hlcnitoring System Certification. On your s1e plaa, <br /> short Lbs: genera± uyoui ortar&s sacs piping, Clearly uenery bCalionS of lite lotlowing equiprient. if Installed: mortlnring system COMM] panels; sensors mainaiing tank <br /> annular spaces. sarrrr . dispenser pans. spill oonlainers. or other serandary cont3mrnew suras: meehanicalor Nec4•onc lire leak detedorc ani in-tank liq±id level <br /> probe=- (if used forleat detecton). In the spax provided, note the date this Site Ptarwas prapared. <br /> r <br /> LEGEND <br /> II <br />