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Underground Storage Tank <br /> Monitoring System Certification Form <br /> Date site plan was prepared.10/1912022 <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 /> pelcl �cwto� PG- .1� T1.c <br /> �5 - ( <br /> 5D W V��c� r ( Y <br /> : : : : : : : : : : : : : : : . r3� 01: cr ' . . . . : : : : : : : : -- <br /> . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . .(crkrw�cc . . . . . . . . . . . . . . . . . . . 1vr <br /> . �x;� . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . SIMM. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . tligi. . . <br /> . . . . . . . . . . . . . . . . . . . . <br /> . . . . . oQa. r, <br /> 5� . .?. <br /> . . . . °- <br /> . . . . . . . . �. <br /> 1. _ . . . . . . . . . . <br /> ^�zz -_._sem .;. _ .::+ �_ � . . . <br /> �cO`r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . <br /> - - _ <br /> ' <br /> VIP `4q •2�� , a$ 2� yoP <br /> U3 <br /> . <br /> tf� girt b ,aJQ <br /> . � � '�/.�1 ®• 3W .�Iv.,n�le,,�� g J � ,r�lc✓ zoo <br /> v9A �y5 3'`'K 4v• 3W 978ojo3 <br /> i r S g: <br /> x �� . . . . . . . . . . . . <br /> d J tri AX <br /> Page 6 of 6 <br />