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so#/-3/q�q 04: C4", " <br />Site# q5�.Yzlb <br />MONITOR WELLS <br />Well Number <br />1 <br />2 <br />3 <br />4 <br />5 6 <br />7--F-8-9 <br />10 <br />11 <br />12 <br />Well Depth <br />Depth to Water <br />Product Detected <br />AMOUNT in inches <br />Standard Symbols for diagram below. @Fill OV Vapor Recovery <br />/B V.R. w / Ball Float ® Monitor Well Op Observation Well <br />(Outside Tank Bed Area) (Inside Tank Bed Area) <br />© Ball Float G Tank Gauge O Vent <br />O <br />�M Manway EI Iron Cross 0 Turbine <br />Location Diagram—Include the Vapor Recovery System. *61 <br />i a?� �e►- 1 0 U 'jam• <br />. . �� . <br />4 <br />f <br />r <br />T <br />. <br />.%tJ�L S <br />. . <br />. . <br />.............5............... <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 immed a"e-eports of system failure -Complete the following: <br />REPORTEDNAME <br />DATE <br />TIME <br />TO: <br />Phone# OWNER or Regulatory Agency <br />FILE NUMBER <br />Pent: Certs ed Testers Name <br />Vacutecv cation umber <br />Certified Testers Sig tura <br />Date Testing Completed <br />t"-iiIYO U*"ffiW <br />