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AFFORDA-TE T 416 2nd Street Galt CA 9:5632 pili Bucket <br /> r (209) 744-0112 (209) 744-0116 FAX Test Report <br /> TEST DATE—;—/7-- <br /> SITE <br /> ATE ; 7SITE NAME (44-5 -V'-rvr 6 PHONE (,t-0'7 <br /> ADDRESS 7%17 ,e, C'L/"–r ,Ar CONTACT: �� <br /> Inspector: CA-046Z. <br /> u <br /> QG2 �.�-1 resent Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: KHydrostatic ❑Vacuum ❑Other <br /> Test Equipment Used: —T- to rr_ L4�C—) Equipment Resolution: I 6 'J <br /> Identify Spill Bucket(By Tank 1 2 3 4 <br /> Number, Stored Product, etc.) Ste- » `r <br /> Bucket Installation Type: �3lreet Bury Direct Bury ZDirect Bury ❑Direct Bury <br /> 0 Contained in Su ❑Contained in Sum ❑Contained in Su ❑Contained in Sum <br /> Bucket Diameter: — <br /> Bucket Depth: !3 I Y <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(TI): /pea p b c> <br /> Initial Reading(Rj): I ' t /-,— <br /> Test <br /> -,—Test End Time(TF): f p o (� 00 f l o <br /> Final Reading(RF): /z l �z— it <br /> Test Duration(TF—TI): <br /> Change in Reading(RF-Rj): _ <br /> Pass/Fail Threshold or <br /> Criteria: <br /> t qua«. <br /> Cornments —(include infarma ' on repairs made prioWo testing, and recornm nd d follow-up for failed tests) <br /> Test VVapr: ZTaken with tester ❑Lett 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 />