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SO r: Site# <br />MONITOR WELLS <br />Well ' . ="""ooM""§ <br />aranaara Symools for diagram below. UF Fill O Vapor Recovery <br />/B V.R. w / Ball Float ® Monitor Well �p Observation Well <br />(Outside Tank Bed Area) o (Inside Tank Bed Area) <br />© Ball Float G Tank Gauge Vent <br />M Manway <br />El Iron Cross <br />T Turbine <br />Location <br />is ra. -Include Vapor Recovery System. <br />. <br />. . <br />. . <br />. . . . . . <br />. <br />i <br />, <br />. . . . .. <br />C. <br />.� <br />. <br />. . <br />. . <br />. <br />. . . . . . . . . . . . . <br />. . . . . . .. . . . <br />. . . . . . . <br />. . . . . . . . <br />. . . . . . . . <br />.�. <br />. . . . . . . . <br />. . . <br />. . <br />. . . . . . . . . . . . <br />p��y. <br />4. moo, <br />? <br />. . . . . . . <br />. . . . . . <br />. . . . . . . . . <br />Vapor <br />Recovery System & Vents were tested with which tank? <br />aranaara Symools for diagram below. UF Fill O Vapor Recovery <br />/B V.R. w / Ball Float ® Monitor Well �p Observation Well <br />(Outside Tank Bed Area) o (Inside Tank Bed Area) <br />© Ball Float G Tank Gauge Vent <br />M Manway <br />El Iron Cross <br />T Turbine <br />Location <br />is ra. -Include Vapor Recovery System. <br />. <br />. . <br />. . <br />. . . . . . <br />. <br />i <br />, <br />. . . . .. <br />C. <br />.� <br />. <br />. . <br />. . <br />. <br />. . . . . . . . . . . . . <br />. . . . . . .. . . . <br />. . . . . . . <br />. . . . . . . . <br />. . . . . . . . <br />.�. <br />. . . . . . . . <br />. . . <br />. . <br />. . . . . . . . . . . . <br />p��y. <br />4. moo, <br />? <br />. . . . . . . <br />. . . . . . <br />. . . . . . . . . <br />Vapor <br />Recovery System & Vents were tested with which tank? <br />Parts <br />and Labor used <br />General Comments <br />When OWNER or local regulations require immediate reports of system failure -Complete the following: <br />REPORTED <br />NAME <br />DATE <br />TIME <br />TO: <br />Phone# <br />OWNER or Regulatory Agency <br />FILE NUMBER <br />Print: Certifipd Testers <br />Name <br />&k7p� <br />Vacutec Certification umber <br />Certified Tete s i <br />Date TestZ). ing Completed <br />7/-� <br />Fmn-TaW-W—M <br />