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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 10. MONITORING SITE PLAN <br /> Date site plan was prepared: <br /> If a site plan has been prepared that shows all required information, you may include it, rather than this page, <br /> with your Monitoring System Certification Form. The site plan must show the general layout of tanks and <br /> identify locations of the monitoring panel, and all leak detection equipment and monitoring locations. Include <br /> a legend for all symbols depicted. <br /> ------------------ <br /> :-_.Site Addir.ess. <br /> ----------------SiteAddreu- ER NI E'S GEI E?,RLSTORE 4407E '%PIATER_DD P.CAC STCCVTO%—CA 0.52-05 <br /> KEY <br /> 4PIFL\G =A1*NMAR <br /> (_Ua0_%T5) F=FML5 <br /> DTnNitlg of piping T=TUMNE <br /> axit of sumP and . . . . P=PROBE <br /> [QC`s.ND V=V.kpOR <br /> undetgronnd . . - - , - . - - k=WN2.SUNSOR <br /> dfalvmg is - L=LeakDaector <br /> acewate,lve 19:=_lfaatray <br /> Cannot spem.l Bte B=Brine Sensor <br /> bite)mss- I=Smart SensS=STP <br /> or <br /> TORE . . . . . . . . . . . . . . . . C=Flo2ta&cam <br /> E=EStop <br /> Fe- <br /> . . . . . . . . . . . . . . . . <br /> -) Gee 0 a <br /> .. -- . ... . - - <br /> (ST <br /> - - - - - - - . - . -..- .- . . .-0T PT <br /> . <br /> - <br /> - ' - ' . <br /> . . . - . - - 'ileara wtdarg7ormdYletYata nd wsrble 10 1hff C4P-d rng hac.haarcratt Me a - - - - - - - <br /> . . . - . . - . . - J-4&N—WdGPM—O?k1 Xi—.Tde,6f YllfflP7R'1J7-XdPr -. a-1'rlU - - . . . <br /> . . . - . - . . - - . - nvr to svde - - . - . . - . - - . - . . <br /> Date map was drawn,4,'22195 <br /> Insfructions <br /> IF you already have a diagram that shows aP required inFonnatian,you may include rl rather than this page,with your 6t4)nitadng System Casrtficauon. On your site plan, <br /> show the general layout of tanks and piping. Cfearty identify I6CaL6ns of lhe following equipment,if installed:monitarmg system cwtral panels:sensors mondorkng tank <br /> annurar spaces,sumps,dis."nser pans,spill corrtainers,or other seembdary containment areas;mechanical or ekeetronw line leak detectors;and m-tank liquid levet <br /> probes(if used for kmk defection). In the space prouoied,notethe date this Site Phn was prepared. <br /> Page 6 of 6 <br />