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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Paye 6 of 6) <br /> XVI. MONITORING SITE PLAN <br /> Date site map was prepared: <br /> If you already have a site plan that shows all required information, you may include it, rather than this page, with your Monitoring System <br /> Certification Form. The site plan must show the general layout of tanks and piping and clearly identify locations of the following equipment, <br /> if installed: 1) monitoring system control panels; 2) in-tank liquid level probes (if used for leak detection); 3) devices monitoring tank <br /> annular spaces or vault;4)devices monitoring product piping;5)devices monitoring fill piping;6)devices monitoring vent piping;7)devices <br /> monitoring vapor recovery piping; 8) devices monitoring vent/transition sumps; 9) devices monitoring under-dispenser containment; 10) <br /> line leak detectors;and 11) devices monitoring any other secondary containment areas. <br /> oar i —oning ane ria. <br /> SAe Address.. EL VORADO GA S MART—1645 S EL DORADO ST. STOCKTON <br /> F (.riRRUTS"5) <br /> STORE w IIra3yiae of paP� <br /> . esr.t of sump and <br /> IIDOE.'�n <br /> . Tcs tmd�rannd <br /> ,L,Ye diarvarg is <br /> _ caerr�t spew.at <br /> . . . . . . . .EiTC P. bhre print&. <br /> . . . . . . . . . . . . . 91. . P <br /> F)�i& <br /> TL <br /> W <br /> KEY <br /> _'�1=i9t91'LiR Seem <br /> F—FILLS <br /> . . . . . . . F=PROBE <br /> . - L=Iur6me r'LeakDeoector <br /> X=SUMP&F-NSaR <br /> S=$rine Sensor <br /> . litgrr i[wrl..emdetgraura�rkar ars nor iiseble <br /> S=Smart Sensor <br /> to zhe rca�rjfaj?w rscJwi!cian are a <br /> . prgfe.�aronaf opiniox w�{v m�dme solstifor ir�formrn'ionafpaopasas. a�wigg = GRIS S�C'kaius <br /> E Stop <br /> nor to Soa10 E_ Stop <br /> Date TM vi��rir� 5128139 <br /> Instructions <br /> IF you alraaay have a diagram that shows aq required inrom5atien_you ma in Duda m rather Than thi=_Pale,with your Monwring System G=_rtfication. Oa your site plan_ <br /> shcn tie generai layout of tanks and pioir�g. C_arty identify lacatc rs of She Following equipment.rf inslled:monitoring sy=_tem cvnt-ul panels;sensors monrierng Sank <br /> e nnula,spaces,ssrr•os,'fi=_penser pans,spill im.tainers,or other se..Jaryr eomainment areas.mechanical o-r ekeLenon7c line leak d.1,ano in-tank liquid level! <br /> crohes'if used for teak de;echo-ni. In the epar_prov.:ed,nate the date+.his Site Plan was prepared. <br /> LEGEND <br />