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50*, 0137S-3 Ow , Site* ///C1/ <br />rOIT ELLS <br />ell Number 1 2 3 4 5 6 7 8 9 10 11 12 <br />Well Depth l 7a°" <br />,Depth,to Water <br />Product Detected <br />AMOUNT in Incheal <br />Standard Symbols for diagram below: F Fitt V 'Vapor Recovery <br />V.R. w / Ball Float Monitor Well p Observation Well <br />(Outside Tank Bed Area) (inside Tank Bed Area) <br />B Ball Float® Tank Gauge Q Vent <br />M " anway I Iron Cross T Turbine <br />Location I C —Include the Vapor Recovery System...,/ Q , <br />. . . . . <br />G <br />G . <br />Z <br />3 y. <br />sem: <br />_ . RUQ . . 2 <br />d! <br />... G <br />a rG1 <br />. <br />. .. . - . <br />. ..' . <br />apor, Recovery System A Vents were tested with which tank? <br />Parts and -Labor used <br />General Coftments <br />When OWNER or local regulationsrequire <br />.... <br />NUMBER <br />N---me <br />T <br />I <br />rJ, <br />Date Testing Completed <br />