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SO* 1153475- OW r: r.Iee <br />0 site* 35? <br />MONITOR WELLS <br />Well Number 1 <br />2 3 4 5 a 7 8 9 10 11 12. <br />Well Depth <br />Depth to Water ?,Do <br />Product Detected I � .® <br />AMOUNT in inch eal 10 <br />Standard Symbols for diagram below: 6 F Fill <br />V vapor Recovery <br />G V.R. w / Ball Float oMonitor Well <br />p Observation Well <br />(Outside Tank Bed Area) <br />@ Ball Float ®Tank Gauge <br />(inside Tank Bed Area) <br />0 Vent <br />r1_1_1 <br />Ej Manway L2j Iron Cross <br />r"__1 <br />LE Turbine <br />Location Diagram—include the.Vapor Recovery System. . . . . . . . . <br />. . . . . . . . -Include . . . . . <br />N.......................... <br />. <br />.. <br />................. <br />................. <br />........ <br />.. <br />................. <br />............. <br />........ <br />........ <br />............. <br />. . . . . . . . . . . . . . . . . <br />........ <br />. . . . . . . . <br />. . . . . . . . <br />. . . . . . . . <br />. . . . . . . . <br />. . . . . . . . . . <br />. . . . . . . . <br />V) <br />. . . . . . I . . . . . . . . . <br />. . . . . . . . <br />. . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . <br />. . . . . . . . <br />. . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . <br />Vapor Recovery <br />. . . . . . . . . . . . . . . . . <br />System & Vents were tested with which tank? <br />. . . . . . . . . <br />Parts and <br />Labor used <br />General Comments <br />I?Unlnjm I.ADOf9r A,,i- wr Alnk 4; C <br />--7— _j <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:1 <br />Phone# OWNER or Regulatory Agency <br />FILE NUMBER <br />Pfint Certified Testers Name <br />V*cfm reMcMawn Wu'mber <br />, 4WI" ' Z' OC " e-9,1, , " � <br />Certified Te. s Signa <br />Date Testing Completed <br />lZTMITF --t§ 7T_­'r'.cjj <br />