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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 6 of s) <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 /> Monitoring System Certinnation Monitoring System Certification US I Monitoring Site Plan <br /> - -' - - - - - - -- - -- - - - - . .... . . . . .. -- <br /> Site Address: ; LAKEWOOD CHEVRON 236 N . HAM LANE LODI CA 95240 i <br /> _ _ <br /> *PIPL1 G <br /> (aiRMIAIS) <br /> Dratvine of piping _ <br /> exit of sump and <br /> UDC's. "Yo 11 • . <br /> underground 6 1 A IIve y2nnot E7 <br /> drattvty is 2w"f'JbL3S+e, � � � r +a{ i _ i <br /> speculate blue }. 41 0al <br /> prints. - _ , - - <br /> 1� -- <br /> x . . . . <br /> - - - - - - -- - - <br /> . . . . . . . . . . . . . . . . . NV RONCVIL TAL HEA T <br /> 00JARTMENT <br /> 06. <br /> hT <br /> A = AMULAR <br /> . - . . F = FILLS - — <br /> T = TURBLNE <br /> = - <br /> P PROBE = VAPOR <br /> X SiDIP 5ENSOR <br /> L = PLLD - <br /> . . 4. 1 2. Xf = Itfsne"a3' -- <br /> B = Brine Sensor { - <br /> I = Stuart Sensor <br /> I 1 0 1 1 1 1 1 T3 . 6 C = Ffaats & Chains <br /> OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i <br /> AWIG <br /> _irr• flout: rnt�re'OfeYllllyda)'FtrGttL Ne to liar certifi$tglirlancranal-ea <br /> Fgfessirnnlapiracnorat• a.rltresdet4•fcrir�arnntwrnlprnpz �- Drmrrng __ _ ___ _ <br /> tottescde - <br /> Date reap was drawn: 3- 13-19. _ <br /> Instructions - -- - -- - <br /> If you already have a diagram that shows all required information. you may includes it rather than this page, with your Monitoring System Certification. On your site plan , - - ---i <br /> show the general layout of tanks and piping. Clearly identify loca@ens of the following equipment, if installed: monitoring system control panels; sensors monitoring tank <br /> annular spaces, sumps , dispenser pans, spill containers, or other sexndary containment areas: mechanical or electronic line leak detectors; and in-tank liquid level - -- - - - - ---- - <br /> probes (if used for leak detection). In the space provided, note the date_ this Site Plan was prepared. <br /> LEGEND <br />