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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 10. MONITORING SITE PLAN <br /> Date site plan was prepared: 6/4/2021 <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 /> aE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM R tot <br /> XVI. MONITORING SITE PLAN <br /> Date Bite map was prepared & !q•Z 1 <br /> 11 you already have a site plan that shows ak required r+lormation.y vu may vidude k rather Man thIs Papa.ad'i Yaw)Wor***V Syslam <br /> Cartdication Form The site plan must stiow tM general laywAd tanks end prprg and dearty+denbly'bcJhws d"lo5own9eQupma+ <br /> if installed 1)monitoring system control panels:2)in-lank kquid levet probes(0 used lar leak detection):3)dewKes r W*Ora+g tank <br /> annular spaces or vault;I)devices moMonng product piping.S)dewes mon•tonng ha ptppng.6)devious rnorororng vent pi XV.7)devices <br /> nwilonng vapor recovery Pring:B)devices monitoring ve Wan.sition stamps.9)dev+oes monitoring under-dispenser contarvnent.101 <br /> tale leak detectors:and 11)dewces mon+hXmg any dlher secondary containmen(alai <br /> I <br /> 3ZZ 1-g 3Zt 1 <br /> I <br /> _ V) <br /> t•7 3zz c-to <br /> +- I ��,rrbG2-3 �Q•'t q��i Q•I - —• - -- - •— <br /> ofm 004" <br /> I <br /> _ I ; <br /> t-4--' <br /> I <br /> 1 <br /> Page 6 of 6 <br />