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Monitoring System Certification <br />UST Monitoring Site Flan <br />Site Address: <br />..................................... ............... <br />.................. ............... I................... <br />...................................................... <br />..................................................... <br />........... b. <br />....... ............. a ............................. <br />..................................................... <br />..................................................... <br />.................................................... <br />...............................................I...... <br />::::::::::::::::::::::::::::::::::::f <br />.................................. I................... <br />. ................ . . <br />.0. <br />. . . . . . . . . . . . ... . . . . . . . <br />. ' ..... ..................... <br />... ..... ..... ..................... <br />. . . . .. .. .. .. ... .. . . . . . . . . . . . . . . . . . . . <br />:: .: :J .. ......... <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 />f <br />M <br />