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so# i j owner: <br /> scx)f/7 &x/ ril`e— site# <br /> MONITOR WELLS <br /> Well Number 1 2 3 4 5 a 7 8 9 10 11 12 <br /> Well Depth lt,�O <br /> De th to Water <br /> Product Detected <br /> AMOUNT in inchesi <br /> Standard Symbols for diagram below. OF OV Vapor Recovery <br /> V.R. w / Ball Float Monitor Well Qp Observation Well <br /> (Outside Tank Bed Area) (inside Tank Bed Area) <br /> B Ball Float Tank Gauge Vent <br /> @ @ 0 <br /> r__" <br /> Manway L2j Iron Cross T Turbine <br /> Lbcation Diagram-Include the Vapor Recovery System. <br /> .. . -Include. . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . I . . . . <br /> 'D if— RoN DIE <br /> . I . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . <br /> . I . . . . . . . . J <br /> . . . . . . . . . . . . . . . . . . . . <br /> 10 10 1 <br /> . . . . . . . . . . . . . . . . . . . . . <br /> 5��� <br /> . . . . . . . . <br /> . . . . . . . . . . . . . . . . . <br /> In <br /> . . . . . . . . . . . . . . . . . . I . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . <br /> ------I/ <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 � e <br /> _,U /)7,-/,)-twlt) DATE TIME <br /> TO:1 M,iie, F- Iia-gi-Ij <br /> Phone# OWNER or Regulatory Agency FILE NUMBER <br /> Print C_­erhffiwd Testers Name Varu*cfrm Certification Number <br /> "'Dez?,ij <br /> Certified Testers Signature Date Testing Completed <br /> Ath <br />