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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page s of s) <br /> XVI. MONITORING SITE PLAN <br /> FDatete 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 veot/transition sumps; 9) devices monitoring under-dispenser containment, 10) <br /> line leak detectors;and 11)devices monitoring any other secondary containment areas. <br /> vt <br /> a <br /> 00— i4r,A,—SC/1rnrS S,Lns <br /> RECEIVED <br /> .JUN 2 4 2020 <br /> ENVIRONMENTAL.HEALTH <br /> DEPARTMENT <br /> 3 S' <br /> LEGEND <br />