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Monitoraeag System Certification <br />UST Monitoring Site Pla <br />Site Address: ? y <br />.. ..........................�,is.......'............ <br />. <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />0 . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . .. <br />. ........... ................................V <br />.........................I.................�r <br />. . . . . . . . . . . . . . . . . . . . <br />.................. I .................................. <br />................................. I ................. <br />1 <br />........................................ <br />.............................................. <br />.. .. <br />.�. <br />........ ......................................... J. <br />..... ....................... acv......--- <br />... <br />�. .. .... ...... ... <br />......... . <br />........ ....................... .')(. ..... .., � .. <br />....................... .. .. <br />........ ....................... .. 97.. ... <br />................................ F ... ... <br />................................................. <br />.........................:............................ <br />Date map was drawn: & / )I /—J-" . <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 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 />Page of 05100 <br />