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sok / ? `rf 7D S OwA e rl,E VI&9,A1 16 Site# 9z.d9 33 <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 8,Y0 <br /> Product Detected <br /> AMOUNT in inches <br /> Standard Symbols for diagram below. @Fill OV Vapor Recovery <br /> IB V.R. w / Ball Float OM Monitor Well Up Observation Well <br /> (Outside Tank Bed Area) (inside Tank Bed Area) <br /> OB Ball Float G@ Tank Gauge O Vent <br /> M❑ Manway ® Iron Cross M Turbine <br /> Location Diagram-Include the.VaporRecovery System. <br /> J- . . . . . . . . . . . . . . . . . . . . . . <br /> Q <br /> t: . . <br /> . . . . . . <br /> U <br /> . <br /> . . <br /> . . ®. . . . . . . . . <br /> m . . . . . . <br /> .® . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . 0o000 . . . . . . . . . <br /> Vapor Recovery System & Vents were tested with which tank? <br /> Parts and Labor used <br /> Genera! Comments <br /> 41AIZ' 01J W_S / s No 1ti Co,,s,6. /-;/ 19 Z4A614 /'=XOA1 <br /> 6 , 7',E` je4 i//S w1 E-lgz-4 p?� <br /> x/ �_5 7:5-.0 H 2,4 <br /> AAIP 19 -r- 7J- 46197- .c a s <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 /> Print Certified Testers Name Vacutectm Ce canon Number <br /> Certified Testers Signature Date Testing Completed <br /> Ze—_J4� 1 -7/ - /a -- 96 <br /> Form Ttnk�Ltrr0i6A1 <br />