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AFFORDA-TE$T 416 2nd Street Galt CA 95632 Spill Bucket <br /> (209) 744-0112 (209) 744-0116 FAC Test Report <br /> TEST DATEb p8 <br /> SITE NAME aIAIu E.v PHONE <br /> ADDRESS _/�i - .4ir1Po27 6�/� y <br /> CONTACT: <br /> S a / <br /> Inspector: 4Vo,46 u e.,,l Pres 1 Not Present <br /> 3. SPILL BUCKET TESTING IP OR-NIATION <br /> Test Method Used: Aalydrostatic ❑Vacuum ❑Other <br /> Test Equipment Used: Equipment Resolution: r s <br /> (40 <br /> identify Spill Bucket(By Tank 1 2 3 4 <br /> Number, Stored Product,_etc.) C:P6 <br /> Bucket Installation Type: 0 Direct Bury ❑Direct Bury ❑Direct Bury IJ Direct Bury <br /> Contained in Su XContained in Sum ❑Contained in Su ❑Contained in Sum <br /> Bucket Diameter: <br /> Bucket Depth: /Z <br /> Wait time between applying <br /> vacuunVwater and start of test: <br /> Test Start Time (Ti): <br /> Initial Reading(Rj): <br /> Test End Time(TF): U j0 <br /> Final Reading(RF): <br /> Test Duration(TF—Tj): ir/L <br /> Change in Reading(RF-Rj): - <br /> Pass/Fail Threshold or <br /> Criteria: <br /> l ' , E <br /> �WAR <br /> Comments . r1 i {M1'� nx w., l `��v x�'L❑r. ',.. m•. . ��`d�5 � X11 � <br /> -(include information on repos ade prior tot sting, and recommended follow-up for faired tests) <br /> 11,511 A —rile o F 7i.JE <br /> Dcc4KE7 , <br /> Test Water: ETaken with tester F-]Lef,4:on site <br /> I hereby certify that all the information contained in this report is true, <br /> accurate, and in full compliance with legal requirements. Technician: , Zane A. Nimmo <br /> ' ICC #: 5263322-UT <br /> Signature OTTL#: 04-1676 <br />