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Monitoring System Certification 0 <br />Site Address: <br />v <br />UST Monitoring <br />, <br />..................................................... ..................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />..... I ............................................... <br />..................................................... <br />..................................................... <br />....... ....... ...... .... <br />. . . . . . . . . . . . . . . . . . . . 1i .............................. <br />. . .. . . . . . . . <br />................................... <br />o. . <br />a <br />. . . D. . . <br />.. .................... <br />..................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />......................................... I ............ <br />Date map was drawn: _/_/. <br />Instructions <br />If you already have a diagram that shoves all required information, you may include it, rather than this page, <br />with your Monitoring System Certification. On your plan, show the general layout of tanks and piping. <br />Clearly identify locations of the following equipment, if installed: -monitoring system control panels; sensors I <br />monitoring tank annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; <br />mechanical or electronic line leak detectors; and in -tank liquid level probes (if used for leak detection). In the <br />space provided, note the date this Plan was prepared. <br />