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Monitoring System Certification i G7pC <br /> UST Monitoring Site Flan <br /> Site Address: <br /> V <br /> . . . . . . . . . . <br /> ti <br /> . , . . . . . . . . . . .. .. .. .. . . <br /> . . . . : : : : : : : : : : : : : : : : ' 4���° <br /> v 6� -. . . . , . . . . , . �" <br /> t . . . . . . . . ,� . . . . . . <br /> . . . . . . yvaj .r-iz, 4 . . . . . . . . . . . . . . .' . , <br /> Dare map was drawn: <br /> Instructions <br /> If YOU already have a clip ram that shows fill required infolrmation, ycnl may inClude it, rather dean this page, with your <br /> Monitoring; S}stem C'ert•iCcaliott, Un your site plan, Show the gelleml layout of tanks and piping. C"learly ideratiiy <br /> locations of rite following equipment, if' installed: monitoring; system control panels, Sensors 171011itoring ttutl. arutular <br /> Spaces, sumps, dispenser pans, spill Containers, or other secondary containment areas. mochanieai or CICctronie line leak <br /> detcctors; and in-tank liCluld level probes (if used for leaf: detection). In the space, pi-oVided, Dote: the date this Silc Plan <br /> was peep i-ed, <br /> t In-036-414 Page 4 of 4 0004t01 <br /> n'Ftr�.uat<tors,org <br /> TT/LO 39Vd 71IH >io(1H0 EZSEEGET99 90:TT 6002/171fbO <br />