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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 10. MONITORING SITE PLAN <br /> Date site plan was prepared: <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 /> Hondon ng Sys tern CerfiMabon Mon itoTi ng Sys tern Certthcation USE Monitoring Site Plan <br /> . . . . . . . . . . . . . . <br /> SheAddress: j.. LAK£ HAM LANE CHEVRON 236 N.HALANE LODE CA 35246 <br /> j___PIPLIG . . . _ . .. _ . . _ . . _ . . . . . <br /> (ARROWS) <br /> thax-ine of piping <br /> exit of sump and . . . . . . . . . . . . . . . . . . . _ . _ _ . . _ _ . . . . <br /> GDC's.?io - - - - <br /> c <br /> undesaaond <br /> dratvrt�g is L! LJ L J . . _ . . . . . . . . . . . . <br /> 14Te C=Elt . . . . . . . . . . . . . . .. . <br /> 3peClltat2htQC . . . . . . . . . . . . . . . . . . . . . . . <br /> fit.. . . . . . . . _ . . _ . . . . . . . .. . . . . <br /> L L <br /> `- . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . - - - - - - - - <br /> .. .. . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . s 6. . . . . . <br /> x } <br /> . . <br /> _k_k-N-N LTI._s1R <br /> F=FILLS <br /> T=TLRMNE <br /> . . . . . . . P=PROBE=%'_kPOR <br /> . . Y=SLTNIPSENSOR <br /> . . . . . . . . . L=PLLD <br /> % S=$rime Sensor <br /> I=Smart Sensor <br /> 3 7. 5=STP <br /> C=Float&Ctsaiva <br /> OFFICE <br /> Cistronzvrrlargrorawdrlrcxaiv"M siTi)arorla� arr{(ungr�larrciarmea <br /> prasirnex2afdrdon�r�T mxfcrasdefuir�6mTxemr�prrrgar�_lhmring <br /> rar To sods <br /> (late reap rras drawn 3-13-19. <br /> Insiru stions <br /> IF you already have a diagram that shows a•required information,you nay include ii.rather than this page,with your Monitoring Syst m CerliFcation. On your siie plan. <br /> show the g=_nenfl layout of tanks and piping. Clearly identify lecateons of 1hefollawing equipment,if installed:moniturarp system ca*trol panels;sensors monhmW lank <br /> annular spaces,stirnps,dispenser pans,spill containers,or other secondary containment areas;mechaWKsl or elewmnic Hne leak detectors;and ki-tank liquM level <br /> prohes{if used for leak delectioni. In the space provided,note the date lhi5 Site PUri was prepared. <br /> Page 6 of 6 <br />