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J YY 1%�—' .r uaauu.J -- — — <br />9. <br />.--- <br />9. SPT` L/OVERFILL,CONTAEWENT BOXES <br />Facility is Not Equipped With Spill/OvL . Containment Boxes ❑ <br />Spill/Overfill Containment Boxes are Present, but were Not Tested 0 <br />Test Method Developed By: ❑ Spill Bucket Manufacturer <br />0 Other (Spec) <br />Test Method Used: 0 Pressure <br />0 Other (Specify) <br />Test Equipment Used: <br />.a cne�{y •4Cu"SA r v,3r,' .r�,'' ;a4UN' Alk�n�!J�:a"i�.:irdx''aFi.1045}4�,t2'#r'�"�k'4'�iwr:�m�r�'',Si F <br />Industry Standard <br />❑ Vacuum <br />Initial Reading (RI): <br />S Ill p BOX# / <br />%/ Spill Box # <br />Final Reading (RF): <br />Bucket Diameter: <br />Q <br />Change in Reading (RF-Rl): <br />Pass/Fail Threshold or <br />Bucket Depth: <br />Criteria: <br />��— <br />Wait time between applying <br />❑Pass ❑ Fail <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />'� 02 <br />Initial Reading (RI): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Q <br />Change in Reading (RF-Rl): <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result: <br />❑Pass ❑ Fail <br />Commenis — (include information on repairs made prior to <br />q/z <br />119,5-0 <br />Ze r r <br />Pass ❑ Fail <br />❑ Professional Engineer <br />Hydrostatic <br />Equipment Resolution:,I/1 b <br />a?M1Tk r�,i�;6n:�1�3�71<u��%r�4"':Crnl�h�$'3f+rfl7'. �II:1.'.SaSr�.�M1�x,+ariHk}�i., i4a .6: <br />Spill Box # Spill Box # <br />❑ Pass ❑ Fail I ❑ piss ❑ Fail <br />and recommended <br />Please direct any comments regarding this form to: <br />SWRCB UST Program, Attn: Scott Bacon <br />1001 "1" Street, Box 944212 <br />.-Sac—mmento, CA 95814 <br />J*one: (916) 341-5873, Fax: (916) 341-5808 <br />e-mail: bacons@cwp.swrcb.ca.gov <br />