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SO# Own <br />L <br />® Site* <br />Well Number 1 <br />2 3 4 5 6 7 <br />8 9 10 1 12 <br />Well Depth <br />Depth to Water zalr- <br />Product Detected <br />AMOUNT in inches --,�, <br />Standard Symbols for diagram below: F Fill <br />/B V.R. w / Ball Float oMonitor Well <br />(Outside Tank Bed Area) <br />© Ball Float ® Tank Gauge <br />Manway El Iron Cross <br />V 'Vapor Recovery <br />p Observation Well <br />(inside Tank Bed Area) <br />O Vent <br />T Turbine <br />Loc, <br />tl i ^ r -Include the,Var Recovery System. <br />l�l <br />. . . . . . . . . . . . . . . . . . <br />. <br />. . . . . . . . <br />. . . . . . . . . . . . . . . . <br />R,riv <br />. . . . . . . . <br />cJ7oIle, <br />..FvN <br />. <br />. <br />® 1 oQ . . . . . . . . . . . <br />. . . . . . . . . <br />r Cl q®�. . . . . . <br />. . . . . . . . <br />. <br />...8 <br />. . . . . . . . . . . . <br />. . . . . . . . . . . . <br />Ofl. . . . . . . . . . . . <br />. . . . . . . . . . <br />....... <br />. <br />. . . . . .,�,,� <br />. . . . . . . . . <br />. . . . . . . . <br />. . . . . . . . . <br />Vapor Recovery Syse & Ventse e tested with which tank? <br />arts and Labor used <br />General s <br />When OWNER or local regulations require immediate reports of system failure -Complete the following: <br />REPORTED <br />NAME <br />DATE <br />TIME <br />T: <br />Phone# OWNER or Regulatory Agency <br />FILE NUMBER <br />Print Certified Testers Name <br />Vacu'lectm Certification NuMFW— <br />Certified Teste s SigKa re <br />Date Testing Completed <br />f <br />/ - FOflA-Taf*WUW*WW <br />C <br />