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Form 12I2004 page I of 2 <br /> SpHI Bucket Testing Farm <br /> FACILITY INFORMATION <br /> Facility Name: Rancho San Miguel Date of Testing: <br /> Facility Address: 1427 Airport Way Stockton 95205 <br /> Facility Contact: Gilbert Silva Phone: 209-942-2840 <br /> County: San Joaquin <br /> Name of Local.Agency Inspector(i,f present during tesH4: <br /> TESTING CONTRACTOR INFORMATION <br /> Coin an Name: Franzen-Hill 1100 North J Street Tulare,CA 93274 (159)683-2977 <br /> Technician Conducting Test, David Martin <br /> Credentials: x CSLB Licensed Contractor 7 SWRC13 Licensed Tan:Tester <br /> License Type: A,B,C-611D40 HAZ License Number: 304147 <br /> SPILI.BUCKET CONTAINMENT BOXES <br /> Facility is Not Equ dWft§ 'll/ouert+ill Containment Boxes 0 <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested <br /> '.fest Method Developed.By: 0 Spill Bucket Manufacturer 0 Industry Standard x professional Engineer <br /> 0 other(Spec6) <br /> Test.Method Used: CJ Pressure ❑Vacuum x hydrostatic <br /> 0 Other(Specify) <br /> Test Equipment Used:Cadwell Equipment Resolution:.01 <br /> Racket:Unleaded7, ' <br /> uccket: Super Bucket: Bucket: <br /> Bket 1?�ameter: 12" " <br /> Bucket Depth: 16" <br /> Wait time between,applying <br /> pressure/vacuum/water and 1 minute 1 minute <br /> startin test <br /> Test Start Time: 10:20 am 10:20 am <br /> Initial Reading(RF): .01 .01 j <br /> Test End Time: 10:50 am 10:50 am <br /> Final Reading(RF): .01 .01 <br /> Test Duration: 30 minutes 30 minutes <br /> Change in Reading(RF-IQ: 0 0 <br /> Pass/Fail Threshold or .02 .02 <br /> Criteria: <br /> Fest Result: I X Pass Fail X Pass Fail Pass Fail 0 Pass 0 Fail <br />