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07/21/2008 15:42 FAX IRj012 <br /> • is <br /> AFFiORDA-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 1(aI' v-'! i PHONE <br /> ADDRESS 1- -2, .Il..1.i`i l i CONTACT: <br /> • � (ter-; � ' 1t ?'( r ; ` , <br /> Inspector: Present / Not Present <br /> L <br /> 3. SPILT.BUCR{ET TESTING TlNT+ORMATION <br /> 'rest Method Used: llydrnstatic U Vacuum U Other <br /> 'fest Equipment 1'_ised: � � � Eq <br /> uipment Resolution: <br /> Identify Spill Bucket(By Tank 1 e_> 2 '� ..� 3L.� I 4 I J <br /> Number, Stured Product, etc.) , <br /> Bucket Installation Type, Diruct Bt?1 <br /> ury Dircct Ruly >Tnirect Bury ,Dircct BLuy <br /> ❑Contained in Sumi) ❑Contained in Sump n Contained in Su fa Contained in Sunlp <br /> Buckct Diameter: I ... <br /> }ucket Depth: .- 1-7 <br /> Wail time bel ween applying; <br /> vacuum/walcr and start of test: r _ <br /> Test Start Timc(T&...---- LO.00 <br /> Initial Readiug(RI): I 'L'/-z I ) h 1 <br /> Tcst End Timc(Tp): `�OI_J - (:('J :. <br /> Final Reading(RF): ( _ 1 J a/ <br /> --- <br /> Test Duration(Tp Tl): I .�lr?V V 1 S)✓ �1l,v',r '' Cxa f <br /> Change in Reading(R,:-R,): t V_( ) lei <br /> Pass/Fnil Tlueshold or - __ _ -'- <br /> Criteria• —� <br /> (:nmrncnts-(nclw-le lnfarmn1ftm,on-rrpairr?nadepri)r)b-ke1rn7. and recnm_m_o_ndc t&- up for failed tests — <br /> ; t <br /> Test Water: ETaken With tester Left on site <br /> I hereby certify that all the information contained in this report is true, <br /> wiumale, and in full compliance with legal requirements, Technician: Lyle D. Nlmmo <br /> C.....". ICC#: 5249115-U'r <br /> Signature: ���� v:,r•.,� O'1"I'L#: _.. 97-1143 <br />