Laserfiche WebLink
. Feb 07 05 01 : 04p Rff-,da-Test (2091 794-0112 p. 7 <br /> SWRCB,January2002 Page of <br /> 9. SPILL/OVERFILL CONTAINMENT BOXES <br /> Facility is Not Equipped With Spill/Overfill Containment Boxes 0 <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Spill Bucket Manufacturer Industry Standard 0 Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum 'Wydrostatic <br /> 0 Other (Spec) <br /> Test Equipment Used`^ '� r c� Equipment Resolution: <br /> ';W'�iv.::i;:C' ??fiY7:Gri`.n'q':!N.'irr i��l.+2.'s:.w.n9, •"' <br /> M1 ,11" <br /> p• ^.u� ' ' d �Sxy-fi:i �:$1tt4t'ioP :f i r gCi.a>n:ti:a�.a�a�{tltfi�5�.n:� a9+:.+er+T.,�' y�.' `rSpill Box# Spill Box ttSpill Box#LISpill Box# <br /> l <br /> �a ,, � ,� <br /> Bucket Diameter: <br /> 12 <br /> Bucket Depth: ly f / -23 <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> startin test: <br /> Test Start Time: - <br /> Initial Reading(R,): <br /> Test End Time: <br /> Final Reading(RF): 7 6 r l"i <br /> Test Duration: �� L <br /> Change in Reading(RF-Rl): <br /> Pass/Fail Threshold or J f <br /> Criteria: <br /> Test Result• Pass 0 Fail PassE[3FaiIPass 0 Fail0 Pass 0 Fail <br /> COnalenis —(include 'n ormation on re airs made prior to testing, and recommended follow-up for jailed tests) <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Attn: Scott Bacon <br /> 1001 'T'Street,Box 944212 <br /> Sacramento,CA 95814 <br /> Phone:(916)341-5873,Fax:(916)341-5808 <br /> e-mail:bacons@cwp.swrcb.ca.gov <br />