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AFFO DA-TE$T 416 2nd Street Galt CA 95632 SPHI Bucket <br /> A (209) 744-0112 (209) 744-0116 FAX <br /> "est Report <br /> TEST DATE �� <br /> SITE NAME L Uv <br /> ADDRESS 155 <br /> CONTACT: E'�/4 V� <br /> ►� tl lhoc 1('°-n ra d <br /> Inspector: <br /> Present / Not Present <br /> Test Method Used: 3. SPILL BUCKET TESTING INFORMATION <br /> HydrosD Other <br /> Test Equipment Used: tatic D Vacuum — - " -- <br /> Q Equipment Resolution: <br /> Identify Spill Bucket(By Tank 1 _ <br /> Number, Stored Product, etc.) �T�- �� 2 }�f�CA 3 <br /> C,, 4 <br /> Bucket Installation Type: D Direct Bury ❑Direct Bury <br /> Contained in Su Contained in Sum t Bury D irect Bury <br /> Bucket Diameter: I I I I 'Contained in Su 'vContained in Sum <br /> Bucket Depth: 1 � ' <br /> 15 l � ib <br /> Wait time between applying to <br /> vacuum/water and start of test; <br /> Test Start Time(TI): 895 oU�b 14 <br /> Initial Reading(Rj); 13 3/q 133/q <br /> Test End Time (TF): c� q F5y I�� )3 3/1 <br /> Final Reading(RF): J �q 3 j ( 3 1 3 A �J 3�l <br /> Test Duration(TF-Tj): I i, r r <br /> Change in Reading (RF-Rj): , �� �! • <br /> Pass/Fail Threshold or <br /> Criteria: <br /> alh H 1 rl g m m gyp roa �„ <br /> i_ z «� WE ai;l �e <br /> Comments — rclude inform,:-on on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Test VTater: Taken with tester Left on site <br /> ereby certify that all the information contained in this report is true, <br /> urate, and in full compliance with legal requirements. Technician'' Lyle D. Nimmo <br /> ICC#: 5249115-UT <br /> 97-1143 <br /> nature: �( '' ' F r% OTTL#: <br /> �. ' �' -; <br /> �J <br />