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',�Z29 <br /> SO Aer: Site# <br /> MONITOR WELLS <br /> Well Number 1 2 3 4 1 5 6 7 8 9 10 11 12 <br /> Well Depth ;l Depth to Water ? <br /> Product Detected <br /> AMOUNT in inches <br /> Standard Symbols for diagram below; F Fill V 'Vapor Recovery <br /> /B V.R. w/ Ball Float ® Monitor Well Observation Well <br /> (Outside Tank Bed Area) o (Onside Tank Bed Area) <br /> B Ball Float ® Tank Gauge Vent <br /> M Manway I Iron Cross T Turbine <br /> ca ionlI ra. =Include theyapor Recovery System. <br /> J£�15 . . . . . . . . . . . . . . . . . . . . <br /> 10 !� r R <br /> SU <br /> ' . . . . . . . . . . . . . <br /> r N <br /> 0 . . . .. . <br /> Pws nuM <br /> EJ <br /> Di£ . <br /> . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <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: �a ���1-�.3 10S-00 <br /> Phone# OW R or Regulatory Agency FILE NUMBER <br /> Pnnt MEM Testers Name Vaau catwn umber <br /> Certified Testers Signature Date Testing Completed <br />