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SOS 9,Sa%� Ownef&,cFA",,-y'Olcf Site# Y9,2_ <br /> MONITOR WELLS <br /> Well Number 1 2 3 4 5 6 7 8 9 10 11 12 <br /> Well De th gd <br /> Depth to Water <br /> Product Detected ,q( <br /> AMOUNT in inches l� <br /> Standard Symbols for diagram below. OF Fill OV Vapor Recovery <br /> /B V.R. w / Ball Float IS) Monitor Well 0Observation Well <br /> (Outside Tank Bed Area) (Inside Tank Bed Area) <br /> O <br /> © Ball Float G Tank Gauge O Vent <br /> ITManway 0 Iron Cross F11 Turbine <br /> LOCatiop Dlagratll-Include the Vapor Recovery System. /Y� J <br /> i <br /> . �u p:> <br /> . <br /> . . <br /> . . <br /> . . . . . . . . . . Su Mry <br /> . . . . . . . . . . r_ <br /> . . . . . . . . . . nes . . . 1pls <br /> Su I! Q ® d� <br /> 5 �2�v . . . .. . . . . .. .. .. .. . . . . . <br /> �� <br /> y(N6 . . <br /> Vapor Recovery System & 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 /> TO: itJ d` OS—CJG <br /> Phone# OW R or Regulatory Agency FILE NUMBER <br /> Pnnt Cert) ed Testers Name Vacutec Ce cation Number <br /> I ) r --� 3_5 <br /> Certified Testers Signature Date Testing Completed <br /> Fme- <br />