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UNDERGROUND STORAGE TANK <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 />„­ �1 t r d„ <br />,'rleAdd re=_s. 1356 Country Club Blvd. Stvcktvn CR 952M <br />N -- <br />. .. .. . .. .. .... .......... STORE <br />. . _ . . . . _ _ _ _ . _ _ _ _d—_ _ 4.—_ <br />. _ _ _ _ _ _ _ . _ _ . _ . _ _ _ _ _ . . . _ _ Fly <br />. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ SLS396 <br />.. _ . . . VENTS, . . . . . . _ . . <br />-i sensor .. <br />F = FILLS <br />V = VAPOR 91 87 <br />F = PRIME PIYI � G � <br />F. -Turbine, LeskDetector ('t if D p ) <br />= SLi9p yQ�S4R TL j L Drav,img of pip= <br />B =Brine sensor _not ' imp a <br />S = Smart Sensor X uad 'u u <br />tim�zround <br />C = Floats & ck&il dralvrng is axnrate, <br />E = E Stop u� cannot <br />_ spe`ukat=blas <br />pnat3. <br />_3rlr. <br />TE_'� <br />vraaFagrmexfot mencrfrnlopiraoron�ndTony fse V <br />Oate map was drawn: WS V20. <br />Instructions <br />IF you alrea3y have a diag-sr, [hat shows a9 reouired inEonnation. you may in Jude d. rather than this page, wit,. your hlanitoring System C =_rtification. On your sde plan. <br />5hrw Tia y=neral layout of tanks and piping. C#rarly rantity Innators of;he Following equ!pmern, if installed, monmrloa 3yslem :.crllml panels; s rlsnrs monrfornp tank <br />annular spaces. surnp3,cispenser pans, spill containers, or other=_ecandary containme:rt areas: tnecharimI os elt rrontr line leak detectors; and in -tank liqur] level <br />nrohes [if ussd for leak rismation). In the spars pra dsd, note the date this 5 iea P. -an was prnpamd_ <br />LEGEND <br />