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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM ( Page s 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 vendtransition sumps; 9) devices monitoring under-dispenser containment; 10) <br /> line leak detectors; and 11) devices monitoring any other secondary containment areas. <br /> ❑4 van , .a. . <br /> Site Address= CITY OF LODI 1331 SOUTH HAM LANE LODI CA 95240 <br /> Ll <br /> OVERPILLAL-UM <br /> a Y <br /> 1111 . - . . . . <br /> WA STE OIL 2K <br /> - R •VENTS , <br /> *PIPL\G <br /> Dra\vinEofptputg ✓ " <br /> exit of sump and <br /> UDC's. No 4 - • <br /> underaround 4 - - - <br /> WcJRA ' 'LIM . . . . . . . . - - - - - . . - - OVERFILLALA .DIE <br /> cannot speculate I . . . . . <br /> blue prints. . . . " . . . . . . . . . " - . . . . . . . . <br /> . . . . - - . . . . . - 1111 . O <br /> - - <br /> . . . . . . . . . . . - . <br /> IEP . . . . . - - 1111 . - <br /> A = AP NIMAR . . . . . . . . . 6 . . <br /> F = FILLS . . . . . - - . . . . . A <br /> T = TE1RBLNE w . . . . . . . . . . . . . . . <br /> P = PROBE . . . . . . . . . . . . . . . I . . . . . . <br /> Y = SUNIPSMOR . . m . . . . . - . . . - . . - - . . I - . . . . . . . . <br /> L = LeakDetector 4 . . . . . . - . . . . . . . . . <br /> B = Brine Sensor . . - .1OK 87 2K 87. .. <br /> I = Smart Sensor <br /> 1111 - - 1111 . 1111 <br /> S = STP <br /> C = Floats & C �� ( r ) <br /> E = ESmP Chains . <br /> . - . . . . . . . . L r l n ❑ A r Q <br /> in itenu urn � orurl rl7crare nor tisibleto t1r- cert{6i17g t r1a7idm7 oz a <br /> p-4fsafcrrrlodiaforrorat- arrlo-esde{�•fca- irfornnliurrt)pvrgz �" Drmriry <br /> nor to scde <br /> Date map was drawn: 9224119 <br /> Instructions <br /> If you already have a diagram that shows a9 required information. you may include h, rather than this page, with your Monitoring System Certfication- On your site plan , <br /> show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitorng system control panels; sensors monitor;ng tank <br /> annular spaces, sumps , dispenser pans, spill containers, or other secondary conlainment areas, mechanical or electronic line leak detectors; and in-tank liquid level <br /> probes (if used for leak delecfion). In the spam provided, nate the date ibis She Plan was prepared. <br /> LEGEND <br />