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0 <br /> ���®R®®�®�� � 416 2nd Street Galt CA 95632 Spell Bucket <br /> (209) 744-0112 (209) 744-0116 FAX Test Report <br /> fr <br /> TEST DATE y6 a <br /> SITE NAME JA WAM-r oop y ` PHONE ( 7o`f <br /> ADDRESS Z 37-3 G CONTACT: S <br /> Inspector: L�t ( Present / Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: ydros tic D Vacuum D Other <br /> Test Equipment Used: -gyp pE �p Equipment Resolution: t its <br /> Identify Spill Bucket(By Tank 18 Z g 3 4 <br /> Number, Stored Product, etc. 91 D i E <br /> Bucket Installation Type: Direct Bury Direct Bury Dtrect Bury Direct Bury <br /> ❑Contained in Sump D Contained in S ❑Contained in Symp D Contained in S <br /> Bucket Diameter: I // <br /> Bucket Depth: 13 /3 t •f <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(TO: 13V5, )5- <br /> Initial Reading(RO: <br /> Test End Time(Tp): <br /> Final Reading(RF): — <br /> Test Duration(TF—TO: <br /> Change in Reading(RF-Rj): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> ' niF <br /> 11110 <br /> R N <br /> g et?tss ai I WIN r <br /> 9. <br /> Comments— (include information on repairs made prior to testing and recommends follow-up forfailed tests) <br /> Test Water: 4 . <br /> Take"- ith tester Lefton site <br /> 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 /> � -A—� ICC#: 5263322-UT <br /> Signature: rte- OTTL#: 04-1676 <br />