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SWRCB, January 2002 • Page -_of <br />r.rr r <br />r 1"nNTA1NMFNTRC)YV.q <br />7. Jr1L1JVv1`�1u'aua��. - - ----- <br />Facility is Not Equipped With Spill/Overfill Containment Boxes <br />Spill/Overfill Containment Boxes are Present, but were Not Tested X (see comments!) <br />Test Method Developed By: <br />❑ Spill Bucket Manufacturer <br />❑ Other (Spec) <br />❑ Industry Standard ❑ Professional Engineer <br />Test Method Used: <br />❑ Pressure <br />❑ Other (Spec) <br />❑ Vacuum ❑ Hydrostatic <br />Test Equipment Used: <br />Bucket Diameter: <br />Spill Box # Spill Box # <br />Equipment Resolution: <br />Spill Box # Spill Bax # <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (Ri): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Ri): <br />Pass/Fail Threshold or <br />Criteria: <br />Test Resulti <br />.O ,Pass'ak O Fail <br />+r'. ❑' Pas&' * <br />O,FaiI <br />;�'.>0 + ass 'z Fa tl .:1 <br />.:. C€ Pass -0 Fail <br />Comments (include information on repairs made prior to testing and recommendedfollow-up forfailed tests) <br />- Spill/Overfill Boxes Tested Annually with Monitoring System Certification. <br />