Laserfiche WebLink
AFFORDA-TE$T 416 2nd Street Galt CA 95632 spill Bucket <br /> (209) 744-0112 (209) 744-0116 FAX Test Report <br /> TEST DATE S � O <br /> SITE NAME r45T - A( — C r 115 / MQ� <br /> PHONE ( 2e>9 ) 9+e.N_80nO <br /> ADDRESS -2-1+ Inf. q n( p CONTACT'046//7 <br /> ac4e'-r0r C'A <br /> Inspector: µQ A] o4q�,��U <br /> Present Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: vdrost 'c D Vacuum D Other <br /> Test Equipment Used: pp. L O Equipment Resolution: 1 <br /> 4-6— <br /> Identify Spill Bucket(By Tank 1 2 3 4 <br /> Number, Stored Product, etc.) 637 Cr <br /> Direct B ury D Direct Bury <br /> Bucket Installation Type: m'Y <br /> Direct Bury ❑Direct B <br /> D Contained in S D Contained in S D Contained in S ❑Contained in Su <br /> Bucket Diameter: if <br /> Bucket Depth: -Z 3 <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(TO: t 1 i o l 1 Zd <br /> Initial Reading(RD: ( ( ,L- <br /> 1 <br /> Test End Time(TF): Z 7- <br /> V yZU <br /> Final Reading(RF): I e/ <br /> Test Duration(TF—Tj): �. <br /> Change in Reading(RF-R): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Comments — (include information on repairs made prior to testing and recommended follow-up forLailed tests) <br /> Test Water: [VITaken 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:. , Zane A. Nlmmo <br /> ICC#: 5263322-UT <br /> Signatur OTTL#: 04-1676 <br />