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Monitoring System Certification 0 0 <br />UST Monitoring Site Plan <br />Site Address: _ <br />al V c <br />.. ........ ... <br />..................:................................. <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . —; i �'- .4 . . <br />...................................................... <br />..................................................... <br />............................................:........ <br />..................................................... <br />:::::::::::::: .......... ::......... <br />:::::::: ..... <br />:::: ......:: ...:: .........:::::....:::: . .:_: <br />......... ...... <br />..............5.,tv..... 1P .. . <br />. . . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . . . ... 4.sem . . . : <br />. . . . . . . . ..�..._,. _ �a v�� . . . . . . . . . . <br />........... ....:::::::::::::::.::::::: ::::::::::: <br />.:::::::::: ::::::::::::.. 0. .�. ::::: :::::::::::: <br />:::::::::: :::::::::::::::::. : ::: :::::::::::: <br />............ ..............................6.......... <br />.................................................... <br />Date map was drawn: <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 />Page of 05100 <br />