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UNDERGROUND STORAGETANK <br /> MONITORING SYSTEM CERTIFICATION FORM ( Page 6 of 6) <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 /> _ <br /> Site Address: I SAVE43N OAS A LIQUOR 420 W. YOSEMITE BLVD. MANTECA CA 95336 <br /> *PIBING <br /> (ARROUS) <br /> . - <br /> Drawing of piping <br /> g exit of sump and <br /> LTD C's. No <br /> underground <br /> STORE atan�ina L ate, <br /> • . . . . . . - we cannot <br /> . . . . speculate blue <br /> - prints. <br /> . - T L 4444 - 1 <br /> 34 <br /> 4444 _ ATG _ . <br /> 2 4. <br /> I E17 <br /> . . . . . . . . . _ . - A = ATTNULAR <br /> F = FILLS <br /> . . . . . . . . . - T = TUMiNE <br /> P = PROBE <br /> 4 1 1 1 - V = ATAPOR <br /> . . 1 1 X = SITE P SENSOR <br /> L = Leak Detector <br /> ri = A famcay <br /> B = Brine Sensor <br /> I = Smart Sensor <br /> -irk• ireas tnrkrgrorarlrlue are nor tistble to tie cerii6ing fW111iCiatP n e a S = SIP <br /> pQ/essiaralopirsanortjt arrleresda(ifca frlfannfirrnlprapar�. Drmritg C = Floatd & Chaim <br /> rrotmsanie4 0 V I 1 0E = E stop <br /> YOSENIITE AVENUE <br /> Date map was drawn: 419119 <br /> Instructions <br /> If you already have a diagram that shows al required Information, you may include h. rather than this page, with your Monitoring System Certification. On your site plan. <br /> show the general layout of tanks and piping. Clearly identify IDcatons of the following equipment, it installed: monitoring system control panels: sensors monitoring tank <br /> annular spaces, sumps , dispenser pans, spill containers, or other secondary containment areas: mechanical or electronic line leak detectors; and inAank liquid level <br /> probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. <br /> Monitoring System Certification <br /> I I I I ii <br /> LEGEND <br />