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UNDERGROUND STORAGE TANK <br />MONITORING SYSTEM CERTIFICATION FORM (Page s of <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 />,Ste Address:LAKEWOOD CHEVRON 236 N. HAM LANE LODI CA 95240 <br />------------------ <br />�PIPLL<G � <br />(ARROWS) <br />Drscina of piping <br />exit of sump and <br />UDC'i. No <br />underground <br />draRmtg h arsu de„ <br />Ave cannot <br />speculate blue <br />prints. <br />OFFICE <br />_crit•iteuurnr�-r'e GraYilirt6are riot tl.'fi7ift0liar CE1T(F.717grrlaricfcrnn-ea <br />p � ssrorxrl opirderr ono rrrzrra e sdett fu ir�ernnrinrniy�npa: o-. L�rrnrir7g <br />rrt to sccde <br />Date reap was <br />dravm: &13-14. <br />Instruotions <br />If you nlsady have a diagram that shows atl squired information, you may include it. rather than this page, with your Idonitoring System Certification. On your sits plan, <br />show the g=_neral layout of tanks and piping. Ck_arly iientdy IocatScns of the following equrFment, rf installed: monaor;np system ccntrol panels: sensors mondorng tank <br />annular spaces, sumps, dispenser pans, spill containers, or other sccendar/ contaLai <br />KEY <br />A = ANNU AR <br />F = FILLS <br />T = TL-RBINE <br />P = PROBE = VAPOR <br />Y=SIA IP SENSOR <br />L = PLLD <br />\I = A FAnway <br />B =Brine Sensor <br />I = Smart Sensor <br />S = STP <br />C =Floats & Chau: <br />ment areas: mechanical ar e!earonio line leak detectors; and in -tank liquid leve! <br />probes ('rF used for leak detectionl. In the space provided, note the date this Sde Plan was prepared. <br />LEGEND <br />�J <br />O <br />t._.l <br />L <br />L <br />L <br />S <br />% <br />k <br />00 <br />00 <br />0 <br />00 <br />0 <br />0 <br />OFFICE <br />_crit•iteuurnr�-r'e GraYilirt6are riot tl.'fi7ift0liar CE1T(F.717grrlaricfcrnn-ea <br />p � ssrorxrl opirderr ono rrrzrra e sdett fu ir�ernnrinrniy�npa: o-. L�rrnrir7g <br />rrt to sccde <br />Date reap was <br />dravm: &13-14. <br />Instruotions <br />If you nlsady have a diagram that shows atl squired information, you may include it. rather than this page, with your Idonitoring System Certification. On your sits plan, <br />show the g=_neral layout of tanks and piping. Ck_arly iientdy IocatScns of the following equrFment, rf installed: monaor;np system ccntrol panels: sensors mondorng tank <br />annular spaces, sumps, dispenser pans, spill containers, or other sccendar/ contaLai <br />KEY <br />A = ANNU AR <br />F = FILLS <br />T = TL-RBINE <br />P = PROBE = VAPOR <br />Y=SIA IP SENSOR <br />L = PLLD <br />\I = A FAnway <br />B =Brine Sensor <br />I = Smart Sensor <br />S = STP <br />C =Floats & Chau: <br />ment areas: mechanical ar e!earonio line leak detectors; and in -tank liquid leve! <br />probes ('rF used for leak detectionl. In the space provided, note the date this Sde Plan was prepared. <br />LEGEND <br />.................. <br />OFFICE <br />_crit•iteuurnr�-r'e GraYilirt6are riot tl.'fi7ift0liar CE1T(F.717grrlaricfcrnn-ea <br />p � ssrorxrl opirderr ono rrrzrra e sdett fu ir�ernnrinrniy�npa: o-. L�rrnrir7g <br />rrt to sccde <br />Date reap was <br />dravm: &13-14. <br />Instruotions <br />If you nlsady have a diagram that shows atl squired information, you may include it. rather than this page, with your Idonitoring System Certification. On your sits plan, <br />show the g=_neral layout of tanks and piping. Ck_arly iientdy IocatScns of the following equrFment, rf installed: monaor;np system ccntrol panels: sensors mondorng tank <br />annular spaces, sumps, dispenser pans, spill containers, or other sccendar/ contaLai <br />KEY <br />A = ANNU AR <br />F = FILLS <br />T = TL-RBINE <br />P = PROBE = VAPOR <br />Y=SIA IP SENSOR <br />L = PLLD <br />\I = A FAnway <br />B =Brine Sensor <br />I = Smart Sensor <br />S = STP <br />C =Floats & Chau: <br />ment areas: mechanical ar e!earonio line leak detectors; and in -tank liquid leve! <br />probes ('rF used for leak detectionl. In the space provided, note the date this Sde Plan was prepared. <br />LEGEND <br />