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SO# �0%0� O*r: <br />MONITOR WELLS <br />Well Number 1 2 <br />1 3 <br />4 <br />15 6 7 <br />8 9 <br />10 11 <br />12 <br />Well Depth ' jj <br />I. <br />Depth to Water Wtk SLS <br />Product Detected <br />AMOUNT in inches <br />Standard Symbols Por dia ram below. F Fill O Vapor Recovery <br />/e V.R. w / Ball Float Q Monitor Well O Observation Well <br />(Outside Tank Bed Area)o (Inside Tank Bed Area) <br />aB I Ball Float ® Tani( Gauge Vent <br />Manway Iron Cross T Turbine <br />Location Diagram. -Include the.Vapor Recovery System. <br />. . . . . . . . . . . . . . . . . . . . . . <br />stP,rres <br />. . . . . . . . . way <br />tieo�!1 <br />. . . . . . . '"",�". . l . . . . . . . . . . . . . <br />. . . . . . . . . . .CD. 11. <br />. . . . . . . . . . . Ww`01 A•. . . . . . . . . . <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 <br />NAME <br />DATE <br />TIME <br />TO: <br />Phone# <br />OWNER or Regulatory Agency <br />FIDE NUMBER <br />Print C esters N e <br />11Juu► <br />VaMMM Certification Mumber <br />� � , <br />Certified a <br />Date Te 'It9ompleted <br />rwm-.a�w�rwsmrawt <br />