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Monitoring System Certification <br />n t <br />UST Monitoring Site Plan <br />Site Address: <br />"54l�tJ �ac�v�.N C.nr�—W�bTl5o �,1-knu �-�oc k-+o� Cr✓. �(52o a <br />...................................................... <br />...................................................... <br />..................................................... <br />..................................................... <br />....................................... <br />... <br />....................................... <br />..... ........ <br />. . . . . . <br />. . . . . . <br />................................ <br />.......s........ <br />. . . . . . . <br />. . . . . . 9 '. .* <br />. . . . . Q ' * ' <br />.* ' ' .* . . . . <br />' * * * <br />. . . . <br />�....... <br />9 * ' * ' * * * <br />. . . . . . . <br />............. <br />............. <br />* ' * * <br />. . . . . . . . . . . . . . <br />.................................................... <br />.................................................... <br />...................................... <br />.................................................... <br />............. <br />...................................... <br />............, <br />..... ......... <br />..... .... <br />.......................... <br />�z� .. <br />.alp <br />...... <br />...... <br />........ <br />RSL ..... <br />.... <br />............. <br />............. <br />............. <br />............ . <br />............. <br />lCT& . . . <br />W6. <br />...... <br />....... <br />............. <br />..... .......... <br />. . . . . <br />. . . . <br />... ....... <br />. . . . . . <br />. <br />..11.................... <br />�.i . . . . . <br />O <br />. . . . . . . . . . . . . <br />7 <br />�INUIc►f <br />. . . . . . <br />Fl NN U (:R►k. <br />�-- <br />�.. <br />2 .. ....... . . <br />................................... <br />............................. <br />0........... <br />........... <br />................................... <br />........... <br />................................ <br />.r............. <br />Date map was drawn:03 /.?3/ oll. <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 05/00 <br />