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Monitoring System Certification <br />UST Monitoring Site Plan <br />Site Address: <br />44 <br />.......... ..................................... <br />.......................................I.............. <br />..................................................... <br />................................................... <br />.............................................:....... <br />........... ..........................:............... <br />....................... .............................. <br />........................................ ............ <br />. . . . . . . . . . . . . . . . . . . . Li . . . . . . . . . . . . <br />.......................... ............. ............ <br />............ .... ..... ............ .......... <br />.......................... .......................... <br />.......................... <br />.......................... <br />Date map was drawn: e-) / ` /t • _ <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 />j — <br />Page of 05/00 <br />