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JUL 2 8 2014 <br />SWRCB, January 2002 ENVIR( ,/[N- .NRALTH <br />4 CPTT.TJ(lVF.7214TT,T. C ONTATNIV,NT BOXES DEPAR1AA1=11J r <br />Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br />Spill/OvcrJill Containment Boxes are Present, but were Not Tested ❑ _ <br />Test Method Developed By: ❑ Spill Bucket Manufacturer ❑ Industry Standard Q Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ vacuum ® Hydrostatic <br />❑ Other (Sped) _ <br />Test Hquipment Used: TS -STS icon sump test system <br />Equipment Resolution <br />- _ <br />,,. <br />t <br />.. ,..; - <br />Spill Box l! <br />�k �,4ba env � ._. � <br />Spill Box If <br />6+ � 3, vM i' <br />Spill Box ti <br />.i��✓r. <br />. , s� L �—LL <br />Spill Boz N <br />Bucket Diametel-: <br />_— <br />Bucket Depth: <br />_ <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />15 min <br />15 min <br />15 min <br />15 min <br />Test Start Time: <br />Initial Reading (Ri): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />15 min <br />15 min <br />15 min <br />15 min <br />Change in Reading (RF -R,): <br />-d <br />Pass/Fail Threshold or <br />Criteria:-- <br />.002 <br />002 <br />.002 <br />.002 <br />TestBesuit: <br />❑ Pass ❑ hall <br />❑ Pass ❑ FH1I <br />❑ pass Fl Fail <br />❑ Pass I � Fait <br />Comments — (inchide information on repairs made prior to testing, and reconimeiiclecl follois-iip for failed tests) <br />