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SO# / 7 `x ?05 Owner: C l-J V1,1F6)N Site# 92 Q 3 3 <br /> MONITOR WELLS <br /> Well Number 1 2 3 4 5 6 7 8 9 10 11 12 <br /> Well Depth <br /> Depth to Water 8y0 <br /> Product Detected <br /> AMOUNT in inches <br /> Standard Symbols for diagram below. @Fill O Vapor Recovery <br /> /B V.R. w / Ball Float O Monitor Well O Observation Well <br /> © � (Outside Tank Bed Area) (Inside Tank Bed Area)Ball Float BUJ Tank Gauge 0 Vent <br /> �M Manway ID Iron Cross ❑T Turbine <br /> Location Diagram-Include the.Vapor Recovery System. . <br /> �ocry <br /> . . . . . . . . . . . . e novROW <br /> U <br /> 0 . <br /> �T <br /> � p R � <br /> . . . . . . . . . . . . �� .� . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . m. . . . . . . . . <br /> . . . . . . . . . . . Cd . . . . . . . . . . <br /> . . . . . . . . . . . .D . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . 00000 . . . . . . . . . <br /> Vapor Recovery System & Vents were tested with which tank? <br /> Parts and Labor used <br /> General Colmments U �/ cvvm /=moo iP rha r�� L. <br /> 21,�S i E1J - fir z <br /> f1 T/= ,O77-6 R 7- .G Z,0 <br /> When OWNER or local regulations require immediate reports of system failure-Complete the following: <br /> REPORTED NAME DATE TIME <br /> TO: <br /> Phone# OWNER or Regulatory Agency FILE NUMBER <br /> Punt:Certs ed festers Name Vacutec"Ce cation umber <br /> CerMied Testers Signature Date Testing Completed <br /> Fam-Tank�IlMs418A1 <br />