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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 6 of 6) <br /> XVI. MONITORING SITE PLAN <br /> Date site map was prepared: <br /> /f 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 <br /> equipment, if installed: 1) monitoring system control panels;2) in-tank liquid level probes(if used for leak detection);3) devices <br /> monitoring tank annular spaces or vault;4) devices monitoring product piping;5)devices monitoring fill piping;6) devices monitoring vent <br /> piping; 7)devices monitoring vapor recovery piping;8)devices monitoring vent/transition sumps;9)devices monitoring under-dispenser <br /> containment; 10 line leak detectors;and 11 devices monitoring any other secondary containment areas. <br /> RECEIVED <br /> JAN 21 2020 <br /> ENVIRONMENTAL HEALTH <br /> DEPARTMENT <br /> HOLMAN RD <br /> DUMP- <br /> STER VR/BR/INCON <br /> MCDONALDS C-STORE <br /> * SENSORS <br /> XESO <br /> xEse <br /> J <br /> � m N <br /> �p ro Li <br /> L3 <br /> SUP <br /> 1 <br /> L 4Z <1Z <br /> • (2) L4 <br /> AIR/ <br /> H2O <br /> VENT REG <br /> 0 <br />