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SO# / 7 L%'70 S O-_ .r: Cd�E VAOA) <br />Site# q S7 7'75 <br />MONITOR WELLS ' <br />Well Number <br />1 1 2 1 3 1 <br />4 1 5 1 6 1 7 1 8 1 9 1 10 1 <br />11 1 <br />12 <br />Well Depth <br />-- <br />Depth to Water <br />O <br />Product Detected <br />AMOUNT in inches <br />Standard Symbols for diagram below: OFill OV Vapor Recovery <br />/t3 V.R. w / Ball Float OM Monitor Well O Observation Well <br />(Outside Tank Bed Area) (Inside Tank Bed Area) <br />© Ball Float GO Tank Gauge O Vent <br />M❑ Manway 0 Iron Cross 0 Turbine <br />Location Diagram—Include the.Vapor Recovery System. <br />+✓ r. rr/- 9 /71 Anl <br />. . . . . . . . . <br />3A 2-A 4A <br />�i RUr1 16.1 � .�hP 1 SvP r �c,bti �� . <br />IR�� E'1 Ed1P ✓EC1C J/I C ✓ES <br />A) 50 <br />. . <br />Rey. <br />. . . . . . . . . . . ���� o . . . . . . <br />©© <br />�. <br />. <br />. . 000 0 <br />0 <br />. . <br />. . <br />. . <br />000 <br />Vapor Recovery System & Vents were tested with which tank? <br />Parts and Labor used <br />General Comments ul- L z� Ti�16l.E <br />- 0,1n 6 v r D.CF_ 6' S -7 - I-- I,'�/7' <br />:5- T A/ 7- ` 7 -Lr --D % 6 T' <br />,U 51H 'T 6 H T <br />When OWNER or local regulations require immediate reports of system failure-Compicte the following: <br />REPORTED <br />NAME <br />DATE <br />TIME <br />TO: <br />Phone# <br />OWNER or Regulatory Agency <br />FILE NUMBER <br />Print Certified Testers Name <br />Vacutec" Certification Number <br />,oO//) 7"R.) //< <br />//92 <br />Certified Testers Signature <br />Date Testing Completed <br />z ez-_, � - <br />"�'/— -- 96 <br />/ "-/ Form-Tank*1 r**41 pt <br />