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SO `/ 7Z 37 <br />MONITOR <br />Air: <br />O2 oAv <br />Site# q�/t83 <br />Well Number 1 3 4 5 6 7 a 9 10 11 12, <br />Well Depth A114 <br />Depth to Water AfIA <br />Product Detected <br />AMOUNT in inches N <br />Standard Symbols for diagram below;F Fill V 'Vapor Recovery <br />/e V.R. w / Ball Float Q Monitor Well Observation Well <br />(Outside Tank Bed Area) o (Inside Tank Bed Area) <br />BB Ball Float ® Tank Gauge Vent <br />anway I Iron Cross, T Turbine <br />C, tl i ^ -Include the Vapor Recovery System. <br />ill <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . f001 ' 1.41? I . may} <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />0 T JLV2 <br />I SJN . <br />0 <br />. ®. . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />Vat rs <br />. . <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 />SPORTED <br />NAME <br />DATE <br />TIME <br />TO: <br />Phone# OWNER or Regulatory Agency <br />FILE NUMBER <br />Print Certified Testers NameV <br />catlan umber <br />Certified Te na re ;' <br />Dam Testing Completed <br />__. <br />/Z 9v <br />