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Monitoring System Certification <br />UST Monitoring Site Plan <br />Site Address: <br />............... ................. <br />............... .................. <br />................... ................. <br />. . . . . . . . . &*f�. — . . . . . . . . . . . . . . . . . <br />..................................................... <br />..................................................... <br />............ �'�ES..... . <br />........ ............. Q............ . . .......... <br />...................................... . .......... <br />..................................... <br />.......... <br />..................................................... <br />..................................................... <br />.................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />.................................................... <br />..................................................... <br />..................................................... <br />.................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />..................................................... <br />Date map was drawn: .(/Atm <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 dr, 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 />1,age of __ 0;nui <br />