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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:4/23/2020 <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 <br /> equipment, if installed: 1)monitoring system control panels;2)in-tank liquid level probes(if used for leak detection);3) devices <br /> monitoring tank annular spaces or vault, 4)devices monitoring product piping;5)devices monitoring rill piping;6)devices monitoring vent <br /> piping; 7)devices monitoring vapor recovery piping;8)devices monitoring vent4ransition sumps;9)devices monitoring under-dispenser <br /> containment; 10 line leak detectors,and 11 devices monitoring any other secondary containment areas. <br /> RECEIVED <br /> J uIN' 3 0 2020 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT E <br /> PREM. <br /> - <br /> ® srn <br /> rn a< 0 <br /> fL.il "a4j"10 DSL <br /> srn <br /> srn <br /> S S <br /> �c <br /> 7-ELEVEN N38153 <br /> 31'O <br />