Laserfiche WebLink
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 <br />shows all required information, you may include it, rather than this page, with your Monitoring System <br />Certification Form. The site plan must <br />show the general layout of tanks and piping and clearly identify locations of the following equipment, <br />if installed: 1) monitoring system <br />control panels; 2) in-tank liquid level probes (if used for leak detection); 3) devices monitoring tank <br />annular spaces or vault; 4) devices <br />monitoring product piping; 5) devices monitoring fill piping; 6) devices monitoring vent piping; 7) devices <br />monitoring vapor recovery piping; <br />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 />UST Monitoring Site PlanON <br />-----'---------t-----------'------------------------------- --------------- --------------------- ---------------------------- '------------i <br />WILSON WAY CHEVRON 437 WILSON WAY STOCKTON CA 95205 <br />Site Address__: <br />. , W 0 d . . <br />STORE <br />:.............. <br />. <br />.... . ........... . . ONS. .� <br />::::..::::::::::.:::�Q <br />E <br />FF1 <br />0 <br />=PIPING = <br />N <br />Dra%vine ofi <br />P Pm€ <br />_ . . . . . _ <br />- . . . . - . - . - - . . . . - <br />T <br />exit of sump and <br />- - . - - <br />UDC's. No. <br />I - . . . . . _ . . _ . . <br />i <br />underErotmd <br />. . - _ <br />S <br />V,QrAt . ive <br />T <br />cannot speculate <br />9 1.,ow . - <br />blue prints. <br />v . . . . . . <br />R <br />T <br />............. <br />...... <br />KEY <br />I .�,_. <br />A=.AN.NULAR <br />1 ....... , .. _ T <br />F=FILLS <br />. . . . . _ _ - - <br />T = TLTPBINE <br />- x <br />P = PROBE <br />T <br />V = VAPOR <br />x <br />%=5iJ1IPSENSOR . <br />. . . . . - . . . _ _ _ - - - - <br />L=LeakDetector <br />B =Brine Sensor <br />I = Smart Sensor <br />S=STP <br />C = Floats & Chain c <br />E=Estop - <br />- - - <br />NNIVILSON WAY <br />.lrW items widerground0=ara not risible to the eerti6ing technician are a <br />prgfersiorml opinion on& mrd are soleh for b1formationa1ptopores..0mviry <br />norro scale <br />Date map vias drawn: 2/12119 <br />Instructions <br />If you already have a diagram that <br />shows an required information, you rnay 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 locations oflhe following egwpment, if installed: mon3orurg system control panels; seniors monitoring tank <br />annular spaces, sumps, dispenser <br />pans, spill containers, or other secondary contaunment areas: mechanical or electronic line leak detectors; and in-tank liquid level <br />probes (if used for leak detection). <br />In the space provided, note the date this She Plan was prepared. <br />LEGEND <br />