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Monitoring System Certification <br />1W NWIM <br />Site Address: <br />. . . . . . . . . . . . . . . . . . ... . . . ..................... <br />......... ........ . ........................... <br />. . . . . . ... . . . <br />.. . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />K . . . ............................. <br />. . . . . . .. . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . 1 .10- " , - * - - - .' - * * - - , -. . -. .- - -. .- .- .- -. <br />k <br />................... API ----- <br />........ .... . ......... ..... <br />W . . . . . . . . . . . . . . . . . . . . . . . <br />.............. <br />................. Q:::::::::: . . . ................... <br />................------------ 1* ------ <br />................. * ......... * .......... * ........... <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . <br />. . . . . . . . . <br />. . . . . ... . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . <br />Date map was drawn: -1 11-f <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, <br />with your Monitoring System Certification. On your site plan, show the general layout of tanks and piping. <br />Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors <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 Site Plan was prepared. <br />CALM -02 Page of 11/15/99 <br />