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Underground Storage Tank <br /> Monitoring System Certification Form <br /> Date site plan was prepared.06129/2021 <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 Idcations. Include <br /> _ -a1 wend fQLalLsvmb-ol dwictes� <br /> ,�rck M S-I�rcc- ARC 0 At—\ <br /> ll www 11 ©U 5 � a1 V\ St <br /> a+�+,e ca, CA 0,533 <br /> � <br /> x�0�x v <br /> low+r S <br /> - E 4 <br /> �k <br /> ILI <br /> S� <br /> N I <br /> - <br /> sv <br /> y' Z b S <br /> v <br /> 14 q <br /> 8? q� <br /> ✓ v <br /> 16 --- — -:}•- - <br /> 1 L �K,4a lob lD9 Cr t 0� <br /> AKIto 2.0$ O ® L <br /> JOS <br /> sof .Loj ,r �L31 zv:U <br /> q ���.o-goo • <br /> Akio _$l yc P -- 0►ULi g1P <br /> MaD• <br /> Ccr <br /> Page 6 of 6 <br />