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SWRCB,January 2002 r"K` "` <br /> 9. SP OVERFILL CONTAINMENT BOX <br /> Facility is Not Equip ed With Spill/Overfill Containment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Spill Bucket Manufacturer ndustry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: D Pressure ❑Vacuum Tllydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: i a O , Equipment Resolution: 1115 <br /> _ � Mk?i��etl:�&�:Hi2ri .. Mai&.fiF�7Ntlp�'z:i�rarr3.}w %+'�;' FascSle;:Af.Y6�kwwawAA[sY,?.�W`�nxU's ?s,s�rar�-�;. <br /> Spill Box# Spill Box# Spill Box# Spill Box# <br /> Bucket Diameter: <br /> Bucket Depth: / 3 <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: - V_141.5- <br /> Initial <br /> YInitial Reading(Ri): <br /> Test End Time: ) <br /> Final Reading(RF): <br /> Test Duration: 1 .' <br /> Change in Reading(RF-Rj): �y <br /> Pass/Fail Threshold or �- <br /> Criteria: <br /> Test Result: PJ'fass ❑Fail a-Ms ❑Fail ❑ Pass ❑Fail ❑ Pass Ell,ail <br /> Comments (include information on repaits made prior to testing ana recommended follow-up for failed tests) <br /> rvlKGsa✓moiPHf FiDJon <br /> T-cV� �Flc� 'le� �1 <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Attn: Scott Bacon <br /> 1001 -r,Street,Box 944212 <br /> Sacramento,CA 95814 <br /> Phone: (916)341-5873,Fax:(916)341-5808 <br /> e-mail: bacons@cwp.swrcb.ca.gov <br />