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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 10. MONITORING SITE PLAN <br /> Date site plan was prepared:4/19/2022 <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 /> U ST Monitoring site Plan <br /> Site Address: FLAG CITY CHEVRON 6421 CAPITOL AVE. LODI,CA 5524D <br /> 0000 . <br /> =VENT MIMD *PIPL�G} <br /> A=ANNULAR (ARROWS) <br /> F=FILLS . . . . . Drawring of pipin_ <br /> T=TL-RBL\-E O . . . . . exit of sump and <br /> P=PROBE L'DC's.Xo <br /> V_V POR O underground <br /> O 91 O <br /> X=SLT\IP SENSOR droning is accurate <br /> L=Leak Detector 87 Styre cannot <br /> `11=Man«ay 87111 DIE speculate blue <br /> B=Brine Sensor x prints' <br /> r O r a 1 <br /> I=Smart Sensor [� J <br /> STP <br /> C=Flaats&Chains , , O <br /> E=E Stop <br /> . . . . . . . . . 0 0 0 0 <br /> . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> L 3 — E-srrva <br /> 8.� — — <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . <br /> 10� g L <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . Arlt:items underground that are not visible to the certj&-ing technician are a . . <br /> . . . . . . . professional opinion ons and are so/e&for iptformationalpwposes. Drawing . . <br /> not to scale <br /> Date map was drawn 4/26/21 <br /> Instructions <br /> If you already have a diagram that shows all required information.you may include h.rather than this page,with your Monitoring System Certrfication. On your site plan, <br /> show the general layout of tanks and piping. Clearly identify locations of the following equipment.if installed:monitoring system control panels;sensors monitoring tank <br /> annular spaces,sumps,dispenser pans,spill containers.or other secondary containment areas.mechanical or electronic line leak detectors;and in-tank liquid level <br /> probes(if used for leak detection). In the space provided,note the date this Site Plan was prepared. <br /> Page 6 of 6 <br />