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SwKt,n,Januay cvv� <br /> 9. SPIT TJOVERFILL CONTAINMENT BOXES <br /> Facility is Not Equip ed With Spill/Ove ontainment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Spill Bucket Manufacturer Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: <br /> ❑Pressure El Vacuum <br /> ydrostatic <br /> ❑Other(Specify) <br /> pmen 'j�P� <br /> o Equipment Resolution:. 1 110 <br /> Test Equi tUsed: <br /> uuaws�wTr: iw11 <br /> a . ,wat z� vmuaeas ,. ate' <br /> Spill Box# I I Spill Box# Spill Box# Spill Box# <br /> Bucket Diameter: ( l I I <br /> Bucket Depth: �V I , v <br /> Wait time between applying / <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: - <br /> � � <br /> Initial Reading(Ri): <br /> Test End Time: 5 <br /> N <br /> Final Reading(RF): <br /> Test Duration: N _ <br /> Change in Reading(RF-110i <br /> pass/Fail Threshold or <br /> Criteria <br /> : 0 ❑Fay <br /> Test Result: ss ❑Fail Pass ❑Fail ❑ Fass ❑Fail <br /> Commenis —(include inform on on repairs made prior to testing, and recommended ollow-u for failed tests) <br /> Please direct any-comments regarding this form to: <br /> SWRCB UST Program,Atm: Scott Bacon <br /> 1001 "I"Street,Box 944212 <br /> Sacramento,CA 95814 <br /> Phone: (916) 341-5873,Fax: (916)341-5808 <br /> e-mail: bacons(ncwp.swrcb.ca.gov <br />