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. <br />,zpA . <br />,b k0,0 . . . . . <br />. . . . . . . . . . . . . s� <br />. . . . .3 <br />. . . . . . . . . . . . p <br />. 5C_ <br />• <br />. . . . . . . . . <br />.. . . . . . . . . of . . . . /�. <br />. -. . . . . . . . . . . . . <br />Vapor Recovery System & Vents were tested with which tank? <br />Parts and Labor used <br />General Comments <br />s. <br />When or local reg dons require Immediate reports of system failure -Complete the following: <br />REPORTEDINAME DATE TIME <br />T: <br />Phone# OWNER or Regulatory Agency FILE NUMBER <br />Print certifijqTesters Name Vacu capon Number <br />Ce ste ignature Date TesOng Completed .. <br />Fam <br />Im <br />R....: <br />MONITOWELLS <br />Well rl'u'IiT• ' 0�t' <br />Standard ........- <br />o <br />.Recovery <br />.._ <br />• ..oObservation <br />FBall loat <br />(Outside Tank Bed Area) <br />t� <br />i <br />(inside Tank Bed Area) <br />Vent <br />DManwaypIron <br />CrossTurbine <br />LoCation Pia gram—include theYapor Recovery System. <br />VIAS <br />. <br />,zpA . <br />,b k0,0 . . . . . <br />. . . . . . . . . . . . . s� <br />. . . . .3 <br />. . . . . . . . . . . . p <br />. 5C_ <br />• <br />. . . . . . . . . <br />.. . . . . . . . . of . . . . /�. <br />. -. . . . . . . . . . . . . <br />Vapor Recovery System & Vents were tested with which tank? <br />Parts and Labor used <br />General Comments <br />s. <br />When or local reg dons require Immediate reports of system failure -Complete the following: <br />REPORTEDINAME DATE TIME <br />T: <br />Phone# OWNER or Regulatory Agency FILE NUMBER <br />Print certifijqTesters Name Vacu capon Number <br />Ce ste ignature Date TesOng Completed .. <br />Fam <br />