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SO# OWN: Site# /7y <br /> MONITOR WELLS <br /> Well Number 1 2 3 4 5 8 7 8 9 10 11 1 12 <br /> Well Depth / e <br /> Depth to Water <br /> Product Detected <br /> AMOUNT in inches <br /> Standard Symbols for diagram below: @F Fill OV Vapor Recovery <br /> /B V.R. w / Ball FloatOM Monitor Well �p Observation Well <br /> (Outside Tank Bed Area) (Inside Tank Bed Area) <br /> © Ball Float GO Tank Gauge O Vent <br /> M❑ Manway EIron Cross 0 Turbine <br /> Location Dia raIT17Include the Vapor Recovery System. /72,1/;9 Si <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . <br /> . © v/dS <br /> r� <br /> . <br /> . . . . . . . . . . . . . . . . . Y. . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . ST<� . . . . . . . . . . . . . . . <br /> Vapor Recovery Sy tem & Vents were tested with which tank? <br /> Parts and Labor used <br /> General Comments <br /> When OWNER or local regulations require immediate reports of system failure-Complete the following: <br /> REPORTED NAME DATE TIME <br /> Phone# OWN E R or Regulatory Agency FILE NUMBER <br /> Print Certified Testers Name Vacutec Certification Number <br /> Certified Testers Sito Date Testing Completed <br /> _ r.- /% 9� <br /> Fa <br />