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0 <br /> ��® �®�� � 416 2nd Street Galt CA 95632 Spill Bucket <br /> i (209) 744-0112 (209) 744-0116 FAX Test Report <br /> I- TEST DATE <br /> SITE NAME :To'1on1 IL r)LY-1 PHONE( <br /> ADDRESS CONTACT: JT \j <br /> CC t (�Y )iG <br /> Inspector: Present / Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: Hydrostatic D Vacuum D Other <br /> Test Equipment Used: ` j I t (1 Equipment Resolution: <br /> Identify Spill Bucket(By Tank 1 �j 2 4 3 C, I 4 <br /> Number,Stored Product, etc. b CJ 1 t U L <br /> Bucket Installation Type: Direct Bury >lDirect Bury )Mirect Bury q,'Direct Bury <br /> D Contained in Sump D Contained in Sump D Contained in Su D Contained in Sum <br /> Bucket Diameter: I I I I I I <br /> Bucket Depth: 1 3 <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(Tj): 1000 b UU 60 U . <br /> Initial Reading(Ri): Z z I Z 1 e, <br /> Test End Time(TF): q00I ap IA 00 goo <br /> Final Reading(RF): i ) /z 2 /t� <br /> Test Duration(TF—Tj): IOU Uv v U Ov f <br /> Change in Reading(RF-R,): <br /> Pass/Fail Threshold or _ _— <br /> Criteria: <br /> Comments -(include info rm a�fou airs made prior)b ng, and recommendleWdl ow-u or failed tests <br /> pll� t PAA) FIII CC1G (X) l..J160'1 y t �.. new <br /> Test Water: Taken with tester Left on 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:' Lyle D. Nlmmo <br /> C-ry' ICC#: 5249115-UT <br /> Signature: y L� OTTL#: 97-1143 <br />