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SO* / ,#'7 ,V 706 OW . C H r VR®JV Site* y 3 :Z 3 <br /> MONITORELLS <br /> Well Number 1 2 3 4 5 8 7 8 9 10 11 12 <br /> Well Depth a- <br /> De th to Water a�o <br /> Product Detected <br /> AMOUNT in inch <br /> Standard Symbols for diagram below: ®Fill V Vapor- ecovery <br /> /s V.R. w/ Ball Float ® Monitor Well p Observation Well <br /> (Outside Tank Bed Area) (inside Tank Bed Area) <br /> © Ball Float ® Tank Gauge o Vent <br /> Manway I Iron Cross T Turbine <br /> Location 1 _ C • -Include the.Vapor Recovery System. LU <br /> 1 4 O W;U; 5&x,4 x1'Fill?(. .. . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . 5 R N 5 . . . . . . . <br /> ©®® ® <br /> 3 <br /> "" 15 <br /> O <br /> 4 . . . . . . . . . . . . . . . <br /> O . . . . . . . . . . . . . . . . . . . . . <br /> o £j_10V ZO/� <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . ® i5T . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Vapor Recovery System & Vents were tested with which tank? <br /> Parts and Labor used <br /> General Comments <br /> J 5 ER D N 7 ti'lC / kV-5 -JD - L - J ,9 d 0 Fat O <br /> 2 O OM 6AZIAE o,E,0? ?, _V u//7` <br /> 9 -Z 14,1 . 7 �-J s.r 7" S 7,E.O 7"1,6 H7 P UL 4 to G vvrh �".RD/f'1 <br /> V6N r 0AJ T A # 3 ,VO #�/• /- INES ARZ CQ wA'ED 1407hV <br /> A C E. - 3 000 E 4,E,- 7'/C'O!C k EA .O E 7E6 r®.ti/ <br /> �1 L <br /> 7-/4&/: .d,J�/.F" 7-Z--S"7E;D 71,6 <br /> When OWNER or local regulations require immediate reports of system failure-Complete the following: <br /> REPORTED "AME DATETIME <br /> T <br /> Phone# OWNER or Regulatory Agency FILE NUMBER <br /> Print:Certified Testers Name VZ79RM Ce cation umber <br /> AOFWIIA16 /S29 <br /> Certified Testers,Signature Date Testing CompleW <br /> Fam-Sn�ldl.h® <br />