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U <br />Monitoring System Certification <br />UST Monitwring Sipe Plan <br />Site Address: <br />. . . . . . . . . . . . . . . I . . . . . . . . . f <br />. . . . . . . . . . . . . . . . . . . . . . . . <br />................... ...... I ........ <br />............... I .......... I ....... ...... <br />.......... I ................ I .............. <br />..................................................... <br />.1 ......... ... <br />........ I ...... -)-, 3 - -i-(. <br />............. -------------- I ........ <br />............... .................... <br />it.. . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . <br />vA 17.ciz . . . 0 a <br />. . . . . . . . . . . . . . . . . . . . <br />.......................... I ...... <br />if)j? i; . . . . 9.0� . . . . . . . . . . . . . . . . . . <br />. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />............ I ...... I . .... I ..... !jOf ...... I . . . . . 7' <br />........................ 1— ................. ..... <br />............... I ................ 1.11 . ....... <br />........................................... . <br />. . . . . . . . . . t' a 9 . . . . . . . io . . . . . . . . . . . <br />. . . . . . . . . . . . . . I . . . . . . I . . . . . . . . . cT . . . <br />. . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . j12a . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . <br />............................ ........ F ....... <br />................. I ........... I ................... <br />................. ........ <br />................................ I ...... <br />......... I ........ <br />........... ............... <br />............ .................. ....... <br />.............. I .............. .... ... <br />..................... I I ............ ....... <br />........................................ ..... <br />.............. ..................... I ....... <br />.....:.::::::.....................I...... <br />.................. <br />....................... ......... <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 />Monitorinp, 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 />0 <br />pne. —of — #5100 <br />