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Monitoring System Certification <br /> UST Monitoring Site Plan <br /> Site Address: LODI MEMORIAL HOSPITAL 975 FAIRMONT AVENUE LODI CA 95240 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> o . . . . . . . . . . . . . . . . . F1 F2 <br /> F o <br /> Vent '4 <br /> P GEN X <br /> . . . TLS <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 350 T <br /> T . . . . . . . . . . . . . . . . . X <br /> . R GEN <br /> o >�y ank <br /> A . . . . . . . . . . . . . . . . . o <br /> F <br /> . . . . . . . . . . . . . . . I . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Vent <br /> . . . . . . .. . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> HOSPITAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Q. . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ote Fill <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . OVERFILL <br /> ATG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . <br /> BUILDING <br /> Date map was drawn10.9-13 <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 <br /> 2/21/07 <br />