Laserfiche WebLink
AFFORDA-TE$T 416 2nd Street Galt CA 95632 Spill Bucket <br /> (209) 744-0112 (209) 744-0116 FAX Test Report <br /> ,/ I TEST DATE Z p g <br /> SITE NAME �14$ S PHONE ( 7-'013 ) 23'-�_ 78c?1j <br /> ADDRESS 5g3q MAKni4 y Pb CONTACT.- <br /> STS—z-o� O ts 952Qco <br /> Inspector: �i�N /j�¢�U!/✓ �p eJl� Present / Not Present <br /> 3. —SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: YHyjrostatic ❑Vacuum ❑Other <br /> Test Equipment Used: i �E Equipment Resolution: r <br /> Identify Spill Bucket(By Tank 1 - 2 3 4 <br /> Number, Stored Product, etc. S <br /> Bucket Installation Type: ❑Direct Bury ❑Direct Bury ❑Direct Bury ❑Direct Bury <br /> Contained in Sum Contained in Sum ❑Contained in Su ❑Contained in Sum <br /> Bucket Diameter: ( Z 1z <br /> Bucket Depth: 13 <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> o <br /> Test Start Time(Ti) <br /> Initial Reading(RI): /y y ( 14% \ <br /> Test End Time (TF): <br /> S 1 <br /> Final Reading(RF): <br /> Test Duration(TF— L-10— y V-- <br /> Change <br /> Change in Reading(RF-Ri): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> �,1�( ix�sa in1� -l.0 n rqi w fin„ar n n a n. <br /> + .# _ �o �i� , mill rr T" i�j 1 <br /> w,i,,..n a rr,� ,�� „,��r .�. ��,t_ s, ..l ;a�w, :.,ro <br /> .Comments (include informationo epairs made prior to tes ing, and recommended follow-up for failed tests) <br /> Test Water: E` Takes-r with tester F-]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. Nimmo <br /> �� ICC #: 5263322-UT <br /> Signature: _ -.. . ' OTT #: 04-1676 <br />