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700NITOR WELLS <br />Site# 9-111jj <br />Well Number.Mo <br />WIT" <br />Standard S <br />0 ymbols for diagram below. UF Fill UV vapor Recovery <br />V.R. w / Ball Float Monitor Well @ Observation Well <br />(Outside Tank Bed Area) (inside Tank Bed Area) <br />@ Ball Float @ Tank Gauge 0 Vent <br />MManway ID Iron Cross T Turbine <br />e <br />— <br />Location DiagranliInclude the.Vapor Recovr <br />System <br />. . . . . . . . . . . . . . Vj . . . . . . . . <br />............................ <br />............................ <br />. . . . . . . . . . FE I �ME I . . . . . . . . . . . . . . . <br />X't /4's e <br />E� <br />............................ <br />. . . . . . . . . . .. . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. GAr-+G.0 . . . . . <br />. . . . . . . . . . . <br />o•- L).'4 <br />. . . . . . Wto --/'i <br />. . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . E <br />Vapor Recovery System & Vents were tested with which tank? <br />arts and Labor used <br />General Comments JL,- r�,P <br />,txj) I -P -""k <br />1A) &Ve_,"- 44 k Al ® S-6 ' <br />When OWNER or local regulations require immediate reports of system failure -Complete the following, <br />• OWNER or Regulatory Agency FILE NUMBER <br />Print Certified Testers Name VacutecVm Certification Number <br />Y <br />Certified Testers Signature Date Testing Completed <br />k9"D" ��d <br />