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JUN-24`2005-FRI 07: 28 AM F. 007 <br /> w � <br /> form 12/2004 <br /> Spill Bucket Testing Farm Page l of 2 <br /> FACILITY INFORMATION <br /> F <br /> acility Narne: Rancho San Miguel Date of Testing: <br /> acility,Address: 1427 Airport Way Stockton 95205 <br /> Facility Contact: Gilbert Silva Phone: 209-942-2840 <br /> County: San:Joaquin <br /> Name of focal Agency Inspector(ifpreseni during testing): _ <br /> TPSTING CONTRACTOR.INFORMATION <br /> Company Name: Franzen-Dill 1100 North J Street Tulare,CA 93274 (559)688-2977 <br /> Technician Conducting Fest: David Martin <br /> Credeatials: x CSLB Licensed Contractor ❑SWRC13 Licensed Tank Tester <br /> License Type; A,B,C-61/D40 HAZ License Number; 304147 <br /> SPILL BUCKET CONTAINMENT BOXES <br /> Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br /> Spill/Over6Il Containment Boxes are Present,but were Not Tested ❑ <br /> Fest Nletbod Developed By: ❑Spill Bucket Manufacturer 5 ludustry Standard x Professional Engineer <br /> ❑Other(Specify) <br /> I Test Method Used: n Pressure ❑'Vacuum x Hydrostatic <br /> ❑Otlrer'(Spec ) <br /> Test Equipment Used:Cadwell Equipment Resolutian:.01 <br /> ,. raa- <br /> , ..a. ��.� Bucket. Unleaded Bucket:Super Bucket: Bucket: <br /> Bucket Diameter: 12„ I2'+ <br /> Bucket Depth: 167+ 16" <br /> Wait time between applying <br /> pressure/vacuw /water and 1 minute 1 rnhaute <br /> startle test <br /> 'fest Start Time: 10:20 am 14:20 am <br /> Initial Reading(R,): .01 .01 <br /> Test End Time; 10:50 am 1.0:50 Rm <br /> Final Reading(RF,): .01 01 <br /> Test Duration: 30 minutes 30 minutes <br /> I <br /> Change in Reading(RF-FQ, 0 0 <br /> Pass/FA Thrt4old or .02 <br /> Criteria: .02 <br /> Test Result: 7C Pass Fail X Pass Fail Pass 1"30 0Pass El Fail <br />