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AFF <br /> ��®® A ®�� �- 416 2nd Street Galt CA 95632 Spill Bucket <br /> 1 H (209) 744-0112 (209) 744-0116 FAX Test Report <br /> TEST DATE <br /> SITE NAME �� J rip, PHONE( <br /> ADDRESS / L2�05,4- pt CONTACT: Kb 4, <br /> Inspector: Present Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: D Hydrostatic D Vacuum 0 Other <br /> Test Equipment Used. Equipment Resolution: �3 <br /> Identify Spill Bucket(By Tank 1 2 3 4 <br /> Number, Stored Product, etc. <br /> Bucket Installation Type: irect Bury _Qpirect Bury 0 Direct Bury 0 Direct Bury <br /> ontained in Sump D Contained in Sump 0 Contained in Sump D Contained in SUMP <br /> Bucket Diameter: <br /> Bucket Depth: <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test SL- 011,11NNO <br /> (Tj): <br /> Initial (Ri): / <br /> Test E (Tp): <br /> Final RF): <br /> Test DTp-Tj): <br /> Changding(RF-R,): <br /> Pass/Fhold or <br /> Criteri <br /> s' ,1:. flFaiiy �? tis.., al © s ' $ OF;ail^ ,r ass,r bF �l,ff. <br /> C- ts <br /> oommments- (include information on repairs made priorm <br /> to testing, and recomended follow-up for failed tests) <br /> Test Water: Taken with tester Lefton site <br /> 41 <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. Nimmo <br /> YA 0 ICC#: 5249115-UT <br /> Signature: / OTTL#: 97-1143 <br />