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Site Address: <br />Monitoring System Certification <br />D <br />Date of Testing/Servicing: <br />RIMALTur, 1 h! ' •, , f; <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . ... . . . . . . . . . . . . . . . . ----I . . . . . . . . . . . . . . . . . . . . . <br />....... ............................. <br />.................... I............................. <br />.................................................. <br />................................. <br />. � f <br />Itz <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />%4b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />....................... 7. j. �. <br />..........., 09 <br />Ia� . ... . . . . . . .. . . , <br />iLL <br />.. �...... ......... <br />.......... .................... ........... <br />� <br />Date mag was drawn: L <br />Instructions <br />ff you already have a diagram that shows all required information, you may include A, rather thart this page, with your <br />Monitoring System Certification. On yourplan,show!!' ygeneral♦: oftanks14. piping. r..: identifylocations <br />of the following equipment, if installed: monitoring system control panels; sensors monitoring tank annular spaces, sumps, <br />dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic fine leak detectors; and 'in - <br />tank liquid level probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. <br />Page of (1-4/00 <br />