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SO l Owner: Sr�vSite* '2o6z <br /> MONIT 0R WELLS <br /> Well Number 1 1 2 3 1 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: ®Fill V Vapor Recovery <br /> /e V.R.w/Ball Float ® Monitor Well Observation Well <br /> (Outside Tank Bed Area) (inside Tank Bed Area) <br /> �B Ball Float �, ® Tank Gauge O Vent <br /> M Manway ❑I Iron Cross ® Turbine <br /> Location Diagram-Include the Vapor Recovery System. <br /> d <br /> - V,. <br /> . . <br /> . T <br /> -- . <br /> s ' . . . . . . . . . . . . . . . . . <br /> N y� <br /> . LV N <br /> . <br /> 000 <br /> . { . <br /> . . <br /> i <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 /> P CerUh es rs Name zz VacutecV-Ce catron Rumber <br /> S 3cL( l <br /> Ce '' Test6rs Signatu Date Testing Completed <br /> l�- Its^a5 <br /> Fd •*WENN <br />