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d ` h <br /> Monitoring System Certification <br /> USTonito 'ng Site P MSite Address: % s,,,..7.. /A n. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> -- — <br /> •/- • <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> l+. I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . <br /> • <br /> . . . . . 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .• " . . . " . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " • . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . <br /> " <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .p �. .® Q <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .G t�l� .ov/. Q �( <br /> . . . . . �. . ..-i. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . C - * * ' ' <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> - - - • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . yjf .5a� !I' <br /> of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <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 de 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 /> t'xgc �of� a:;aa <br /> µ4Vi.r iYfr 4`t�1�f➢i #1Y,..e?.. <br /> ON's <br /> i > t <br /> 57 <br /> d <br />