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S% RCB,January 2002 Page of <br /> 9. SPILL/OVERFILL CONTAINMENT BOXES <br /> Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ ` <br /> Test Method Developed By: ❑Spill Bucket Manufacturer Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum �Iydrostatic <br /> ❑Other(Spec) <br /> �r1 Equipment Resolution <br /> Test Equipment Used- 1/y <br /> �Afi„Jr�"h..uu`u A ..,?ia^,t�3Ncitc,Y.sJa i.5,�.,�C.' �N..3,*�il.:v#;:1.1u.1Ar.«r�^arc.ry dr'!,i,.P,.mHkza'G�'y3k'k�7i.5n;k'Y;�siyHin 1�:. '- .,v YA{t'�tl7a . <br /> ,r <br /> `.� Y4 LtnPYNkl <br /> -W4 i S Spill Box# Spill Box#f Spill Box#��'�<r Spill Box# <br /> Bucket Diameter: <br /> Bucket Depth: <br /> Wait time between applying <br /> pressure/vacuum/water and �— <br /> starting test: <br /> Test Start Time: <br /> Initial Reading(Ri): <br /> Test End Time: <br /> 'Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Rj): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result: Q Pass ❑Fail 1X Pass ❑ Fail -;J<Pass ❑Fail ❑ Pass ❑ Fail <br /> Com.mcmis — include 'n ormation on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Attn: Scott Bacon <br /> 1001 "I” 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 />