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sGust. <br />MONITOR WELLS <br />Numb _2 <br />Depth <br />Water <br />Prod.DetecQl <br />NOT Det: <br />Location Diagram <br />�t <br />MINIM/�.:. �1' <br />7 8 9 10 11 <br />I <br />i 1 <br />ii Parts and Labor used <br />Ss <br />': I • it 11 l:" f ��/J� rt* <br />1 1/7L .1r� h �'QL �iwdl�'i� 1!►� ►ter all,�i3"�i <br />AIJITA, 1s� ..: <br />il When local regulations require immediate reporting of a system leak -Complete the following: <br />Reported <br />Name Date Time <br />Phone Number CUSTOMERFile Number <br />f_ <br />VaccutectTM Certification Number <br />Dil& Testing Completed Form-Tanks/Lines5/91. <br />