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Adft Aft <br /> MF low <br /> AFFORDA-TE$T 416 2nd Street Galt CA 95632 Spill Bucket <br /> (209) 744-0112 (209) 744-0116 FAX Test Report <br /> -NEST DATE <br /> SITE NAME Ctko I FoLa <br /> PHONE ( c, t),, <br /> ADDRESS �) NW (( CONTACT: ✓T '�Jt!D <br /> 0 ,Gwl`� ) t' 0Y- )IC. <br /> i <br /> Inspector: Present / Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: XHydrostatic D Vacuum D Other <br /> Test Equipment Used: I vq'� Equipment Resolution: <br /> Identify Spill Bucket(By Tank 12 16C, <br /> 3 C 4 - <br /> Number, Stored Product, etc. <br /> Bucket Installation Type: Direct Bury Direct Bury )Mirect Bury Npirect Bury <br /> D Contained in Sump D Contained in S D Contained in Sump D Contained in Sump <br /> Bucket Diameter: I l i i t <br /> Bucket Depth: I I 1 3 <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(TO: t5pc) 1000b dU 80c) <br /> Initial Reading(RO; I k I -L,/-z 1Z /4 /b <br /> Test End Time(TF): 900 00 9 00 Ct 00 <br /> Final Reading(RF): I I U I/z l T/ '/ <br /> Test Duration(TF—Tj): ( lOu t/ (�✓ Oki I vou,/' <br /> Change in Reading(RF-Rj): 46 <br /> Pass/Fail Threshold or -- <br /> Criteria <br /> 'ri � i 4.i 'jp S N ma<Wy zr R fi rc dd fi p Myo ' ° M`,it (un 5'Sf e <br /> Comments— (include information-on-repairs rnade prior�o-tes mg, and reeommenldjbll w-up forfailed tests <br /> PJeAA �IV1 CCG.D nn <br /> RG 40 f�Fr, c�SS <br /> Test Water: Taken with tester NoLeft 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. Nimmo <br /> ICC#: 5249115-UT <br /> Signature: , ��/li1GG<!f/) OTTL#: 97-1143 <br />