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SO#/OSGiZ Owi.er: ��, y,� � Site# �o�o <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 <br /> Product Detected <br /> AMOUNT in inches <br /> Standard Symbols for diagram below. F Fill V Vapor Recovery <br /> /s V.R. w / Ball Float OM Monitor Well Observation Well <br /> (Outside Tank Bed Area) (Inside Tank Bed Area) <br /> © Ball Float GO Tank Gauge O Vent <br /> MD Manway ❑I Iron Cross M Turbine <br /> Location Diagram—Include the.Vapor Recovery System. <br /> H . 0 . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . Cl �". CJ r El <br /> 7 ' <br /> d <br /> ✓h1Y2 U i Scc�'riarl O �/}L✓i <br /> ✓r4�✓� VAI ilv {� <br /> p C� • p c> O <br /> I <br /> I <br /> p Fw2 p vlvt O F/Yt p p FikL . . <br /> SLIT) ��JS �U�• 12J�' f'/656L <br /> ICK IZK. 2K �2 . lZ. . <br /> avoo o <br /> Vapor Recovery System & Vents were tested with which tank? <br /> Parts and Labor used <br /> General Comments <br /> When OWNER or loca! regi-ria`:—ons req,-,Ire irr.mcd;ate 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 Vacutec Ce cation Number <br /> DIAV , <br /> Certified Testers Signature Date Testing Completed <br /> ,L Na v q3 <br /> FanmTarftU*9 WW <br />