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s0# 115, O site# <br /> 39 ��%cam �-;-o -7� <br /> MONITOR ELLS <br /> Well Number 1 1 , 2 3 4 1 5 6 7 8 9 10 11 12 <br /> Well Depth <br /> Depth to WaterlgeZ <br /> Product Detected �� <br /> AMOUNT in inches Jc <br /> Standard Symbols for diagram below: (Z)Fill V Vapor Recovery <br /> /s V.R. w/Ball Float ® Monitor Well p Observation Well <br /> (outside Tank Bed Area) (Inside Tank Bed Area) <br /> IB Ball Float ® Tank Gauge o Vent <br /> Manway I Iron Cross T Turbine <br /> Location .Diagram-include the,Vapor Recovery System. <br /> fi . . . . . . . . . <br /> N * * ­. *, * '. ' * * * * * * ' * * * * * * * ' ' ' * * <br /> . . . . . . . . . . . . . i,�4/�5. . . . . . <br /> . . . . . . . . . <br /> ® .®. . . . . . . . <br /> . V O .E. -f. . . . . . . . . <br /> a <br /> 44 <br /> Vapor Recovery System & Vents were tested with which tank? <br /> Parts and Labor used <br /> General Comments <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 /> Pant Certi ed Testers Name VacutscCrM Ce capon Rumber <br /> Certified ZTess Si nature Date Testing Completed' <br />