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Monitoring System Certification <br />t7 <br />UST Monitoring Site Flan /— <br />Site Address: �i`��% � -*11.�/� G . &99E- �, G/7 , C, -1V 7J`�ZiO <br />..................................................... <br />....................................................I <br />...................................................... <br />..................................................... <br />.......................... <br />...................... ............................... <br />..................................................... <br />. . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />...................... ....7.......................... <br />...................... ............................... <br />..................................................... <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . <br />...................... ............................... <br />....................... . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . <br />...................... ............................... <br />..................................................... <br />.. .... ....... ............................ <br />.. .. .... .. ....... .. ............................ <br />. . . . . . . . . . . . . . . . . . . . Tp .� . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (, . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . <br />. I <br />. ........ <br />................................ . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . .. ... . . .... . . .. . . . .. Vi(�G,�i9d� �5`�efti`f,F�' . . .... . . <br />........................ ............................ <br />........................ ............................ <br />........................ ............................ <br />............................ <br />. . . . . . . . . . . . . . . . 1p:3'1® . . . . . . . . A Lj j tail : JO - . . . . . . . <br />Date map was drawn: Z / S / Z 0 <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 4— of —L 05/00 <br />