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Monitoring Svstern Certification <br />UST Monitoring Site Plan 4 <br />Site Address: <br />?A <br />...................... ... ............. .... <br />......................... K ry . ....... <br />.. ............. .... <br />.i .................. <br />........... .............. �o .... * * , * * * ... ............. .... <br />.... ............. ..... rz. I <br />............................ ..... ............. .... <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . I . ... . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . P. z. . . . . . . . . . . . . . <br />.......................... ; .. .. . ............. .. <br />............ 9 ..... T.r-. - rt�jesff* . ............. .... <br />........... I . . ............. .. k - <br />.......... j ............. .... <br />..................... <br />.................................. .. <br />. <br />................................. . W. <br />.... EI ........ <br />...................................... IS—1 ........ <br />................................... — ...... <br />................................... .. W ......... <br />................................... .. <br />.................................... .. G, <br />.................................... .. <br />-2 <br />..................... ............. . .. ...... .... <br />...................... ............. . .. ...... .... <br />.............. I ....... ............. . <br />...................... ............. .. ...... .... <br />..................... ............. . ...... .... <br />....... ............. ...... .... <br />....... ........ ...... .... <br />. ...... .... <br />....... ........ . ...... <br />............ ........ <br />............ ........ K. . ........... <br />........... I .......... ......... <br />...................... .. I ........ <br />..................... ............. . ... ..... <br />..................... 7 U <br />.................... ................. <br />.............. . EO .... <br />.................... 9 , -., - * - * - <br />Date map was drawn: <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'systern 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 I of os <br />r N <br />