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i <br /> IOST Monitoring <br /> Site Address: ✓ p — ----- <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . 1 . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . 1.16) . <br /> . . . . . . . . . . . . . . . . . . . . . . <br /> 77 m. . . �� . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . : <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> .. . . . . . . . . . . . . . . . . . . .. . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . ` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> �';p � 0 . . . . . . . . . . . . . . . . <br /> y 'VICI` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . [ . <br /> ' . <br /> . A• <br /> . . . <br /> • . • . <br /> . • . <br /> t),Ite ina1, Avaq drawn. 71 <br /> Instructions <br /> If you already have a diagram that shows all required ini'ormation, you may include it, rather than this page, <br /> with your Monitoring System Certification. On your plan, show the general layout of tanks and piping. <br /> Clearly identify locations of the following e(Iuipment, it' installed: -monitoring system control panels; sensors <br /> monitoring tank annular spaces, sumps, dispenser pans, shill containers, or other secondary containment areas, <br /> mechanical or clectronic line leak deteclors.. and in-tank liquid level probes (if used tier leak detection). in the <br /> space provided, note the date this Ilan was prepared. <br /> Page 6 of 6 05100 <br />