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416 2nd Street Galt CA 95632 Spill Bucket <br /> AFF® ®A-TET <br /> (209) 744-0112 (209) 74,4-0116 FAX Fest Report <br /> (� rq' / �,I TEST DATE <br /> SITE NAME ce vtG /yl IGS 6l _/ �V� r� i a(f PHONE <br /> ADDRESS _1 yQ� A I rp,p —t CONTACT <br /> D <br /> Inspector: pq u Present / Not Present <br /> .J <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: [9Ily—drostatic D Vacuum ❑Other <br /> Test Equipment Used: Equipment Resolution: Z.— <br /> r <br /> Identify Spill Bucket(By�Tankl t / Q Z 4 <br /> Number,Stored Product, V v 1-1 <br /> �( f 3 <br /> Bucket Installation Type: ❑Direct Bury D Direct Bury ❑Direct Bury ❑Duect Bury <br /> Bucket Diameter: ontained in S Contained in S D Contained in S D Contained in S <br /> . <br /> Bucket Depth: �y <br /> Wait time between applying <br /> vacuum/water and start of test: Ilk <br /> Test Start Time(TI): (3 D <br /> Initial Reading(RO: ? •i <br /> Test End Time(TF): ® /~ <br /> Final Reading(RF): <br /> Test Duration(TF—Tj): <br /> Change in Reading(RF-R�: <br /> Pass/Fail Threshold or <br /> Criteria: <br /> T„uP' tiA° tr �l i .F'ai,E� 'nV 3.. "� S5 <br /> �. .•a. � g�i.'..( <br /> Comments—(include <br /> inform, tion on re paz.rs made rior to testing, an recommendefd/follow-up for failed/tests) <br /> tri e"JL/t�dlf' ) � p , / t�tC I°a k UGa �7YoJ lt27 rrSC <br /> Test Water: fifITaken with tester F�Left 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:' Lyle D. NII11I710 <br /> ICC#: 5249115-UT <br /> Signature; far- fal. "I . . 11 11 — <br />