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Monitoring System Certification <br />UST Monitoring Site Plan <br />Site Address: 4 <br />. 555 5-5555-- - --5555-- ---------5555-- <br />........................ <br />. . . . . . . . . . . . . . . . . . . . . . .moi o iv i'Tuz . . . . . . . . . . . . . . <br />}�. . . .cLf. . S. ` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />.................... <br />t=.icL................................. <br />..................................................... <br />.L.=.L-Lp .............................. ...... ........ <br />............... ......... I— — ........I.— ........... <br />.............. <br />....................................... <br />?E-5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . .� . .. . . . .Z <br />......... <br />................................ .... <br />......... El <br />Cl.... <br />............. <br />.......... ....................... <br />. . . . . L <br />................. <br />.......... - <br />.................... <br />............... <br />................. .......... <br />/�� 2� <br />Date map was drawn:c.----_�. _-- �7• <br />Instructions <br />If you already have a diagram that shows all required infortration, 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 levet probes (if used for leak detection). In the space provided, note the date this Site Plan <br />was prepared. <br />Page _--of - 05100 <br />