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UNDERGROUND STORAGE TANK <br />MONITORING SYSTEM CERTIFICATION FORM (Page s of 6) <br />XVI. MONITORING SITE PLAN <br />Date site map was prepared: 10/22/2018 <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 />------------- --------------- - <br />SiteAddress: I STJOSEPHSHOSPITAL000N. CALIFORNIA STREET STOCKTONCA95204 <br />t -- `` Cemetery <br />=PIPUiG } <br />(ARROWS) <br />Drawing of ALL DAY C6UF%L, . <br />piping exit of <br />sump and UDC's. <br />No underEround <br />Mb <br />drawing is <br />accurate, we <br />cannot speculate <br />blue prints. . . . . . . . . . . . . . . . . . . I I I . . . <br />0 - <br />. d <br />I?W items maderground tint are not visible to the cenj6-ing techtieimi are a <br />pvgfessiortal opuiion on& mid are solei l for utforntanonal ptoposes. Ihatrb; <br />not to scale <br />..... I I I I 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 4 1 1 1 .. <br />Date map was drawn 10-21-16 <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, <br />show the general layout of tanks and piping. Clearly identify locatfons of the following equipment, if installed: monitoring system control panels; sensors monitoring lank <br />annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas: mechanical or electronic line leak detectors; and in -tank liquid level <br />probes (if used for leak detection). In the spare provided, note the date this Site Plan was prepared. <br />LEGEND <br />