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SO# l�so�g� OW • Site# <br /> MONITOR WELLS <br /> Well Number 1 2 3 4 5 6 7 8 9 10 11 12 <br /> Well th <br /> De th to Water <br /> Product Detected <br /> AMOUNT in inches <br /> Standard Symbols for diagram below: @Fill OV Vapor Recovery <br /> /e V.R. w / Ball Float OM Monitor Well Op Observation Well <br /> (Outside Tank Bed Area) (Inside Tank Bed Area) <br /> © Ball Float GO Tank Gauge O Vent <br /> zM Manway 0I Iron Cross ET Turbine <br /> Location DIagral7l-Include the Vapor Recovery System. <br /> S foil . : . . . . . . . . . . . . . . . . . <br /> L J LJ : 1; I l} <br /> . . . . . . . . . .� <br /> E,1rS O 0 . . . . . . <br /> i)/J5 StIN `t/Al . <br /> . *3 fa hq <br /> . (Z) O ©� . <br /> � Q lY <br /> Vapor Recovery System & Vents were tested with which tank.) '�I4Mec�4 S <br /> Parts and Labor used <br /> General Comments / e ed rd iP A)0 <br /> When OWNER or local regulations require immediate reports of system failure-Complete the following: <br /> REPORTED NAMEQATE TIME <br /> / <br /> Phone# OW R or Regulatory Agency FILE NUMBER <br /> Print Certified Testers Name / Vacutee Ce cation Number <br /> el�,,.i r, I 32 <br /> Certified Testers Signature Date Testing Completed <br /> Fmn-TutYl» <br />