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AFFORDA-TE$T 416 2nd Street Gait CA 95632 Spill Bucket <br /> (209) 744-0112 (209) 744-0116 Fax Test Report <br /> / TEST DATE <br /> SITE NAME 0"'b 12D N PHONE <br /> ADDRESS 0 S,78 w. /i✓ CONTACT: <br /> oc Ton/ <br /> Inspector: t Presen Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: Hydrostatic - 0 Vacuum - D Other <br /> Test Equipment Used: %/APE s EquiptnentResolution: <br /> Identify Spill Bucket(By Tank 7 2 .3 4 <br /> Number,Stored Product, etc) i�7 8Z -D/E Q 1 <br /> Bucket Installation Type: irect Bury uect Bury _ irect Bury irect Bury <br /> ❑Contained in Sump 0 Contained in Surnp D Contained in Sump D Contained in Sump <br /> Bucket Diameter: / /r // // <br /> Bucket Depth: - (3 1-5 <br /> I Z <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(TO: 8FJ0 ajc> SrJO S8o <br /> Initial Reading 91 <br /> Test End Time(TF): <br /> /p � <br /> Final Reading(RF): r <br /> Test Duration(TF-Ti): VIP ! 2 2 <br /> Change in Reading(RF-Rt): e0� '/.L- <br /> Pass/Fail <br /> 'L <br /> Pass/Fail Threshold or <br /> r— <br /> Critena: <br /> t <br /> .Comments-(include information on repairs made prior to r ting and recommended follow-up for failed t is <br /> Test Water: TRLTaken with tester Lefton 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 /> Signatur OTTL#: 04-1676 <br />