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0 0 <br /> RECEIVED <br /> Monitoring System Certification <br /> UST Monitoring Site Plan N O V 2014 0 1 <br /> Site Address: LODI MEMORIAL HOSPITAL 976 FAIRMONT AVENUE LODI CA 96240 l J ll I <br /> a g <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. <br /> . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . <br /> . <br /> . . . . . . . . . . . . . O Fl F2 O <br /> Vent <br /> . . . . . . . . . . . . GEN X <br /> . . . . . . . . . . . . P . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . TLS <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . 350 I <br /> T <br /> . . . . . . . . . . . . . . . . . LJ x <br /> GEN <br /> R . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . Day ank . . <br /> O . . . . . . . . . . . . . . . . . O <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Vent <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> HOSPITAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> O <br /> ote Fill <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . L_J . OVERFILL . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ATG . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> BUILDING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Date map was drawn 10-9-13 <br /> Instructions <br /> If you already have a diagram that shows all required information,you may include it,rather than this page,with your Monitoring System Certification. On your site plan, <br /> show the general layout of tanks and piping. Clearly identify locations of the following equipment,if installed:monitoring system control panels;sensors monitoring tank <br /> annular spaces,sumps,dispenser pans,spill containers,or other secondary containment areas;mechanical or electronic line leak detectors;and in-tank liquid level <br /> probes(if used for leak detection). In the space provided,note the date this Site Plan was prepared. <br /> Monitoring System Certification Page 4 of 4 2/21/07 <br />