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S WRCB,January 2002 V <br /> 9, L/OVERFILL CONTAINMENT BO — <br /> Facility is Not Equipped With SpilVOve 11 Containment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ ndus Standard ❑Professional Engineer <br /> Test Method Developed By: C]Spill Bucket Manufacturer � try <br /> ❑Other(Spec) ❑Vacuum iydrostatic <br /> Test Method Used: ❑Pressure <br /> ❑Other(Specify) <br /> I � Equipment Resolution: <br /> Test Equipment Used.r <br /> pgs xea + <br /> gratis �j .a n eeasa amzm _ Sill Box <br /> ;l Spill Bax#' / SSp <br /> pill Box# Spill Box# i P <br /> Bucket Diameter: I I <br /> 3 <br /> Bucket Depth: L <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: 00 <br /> C7 3 <br /> Test Start Time: - � 3/L/ <br /> Initial Reading(111): <br /> Test End Time: <br /> Final Reading(RF): / 12 L <br /> Test Duration: <br /> Change in Reading(RF-Ri): <br /> Pass/Fail Threshold or <br /> Criteria: �/�ass ❑Fail Pass ❑Fail <br /> Test Result: Pass ❑Fail ❑ Pass \ail y� ._ <br /> Comments—(include in arnaation on re airs made for to testing, and recommended follow-up for failed tests) <br /> 4f <br /> e 9 <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Atm: 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 />