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Ar FORDA- 1 E$T 416 2nd Street Galt CA 95632 Spill Bucked <br /> 1� (209) 744-0112 (209) 744-0116 FAX Test Report <br /> TEST DATE 7 <br /> SITE NAME I-oo� e--55 PHONE ( ZO Jam ) �S� O LO k3l <br /> ADDRESS 3 ��� �� !'Y���fh e JQ CONTACT: <br /> CA- <br /> Inspector: SA-rJ j o ti-a-LA- Present / Not Present <br /> 3. SPILL BUCKET TESTING INFOP.MATION <br /> Test Method Used: ydrostatic ❑ Vacuum ❑Other <br /> Test Equipment Used: APE v Equipment Resolution: I " <br /> Identify Spill Bucket(By Tank 1 2 3 4 <br /> Number, Stored Product, etc.2 1 P7 / <br /> Bucket Installation Type: ❑Direct Bury ❑Direct Bury ❑Direct Bury ❑Direct Bury <br /> Contained in Sump ontained in Sum ❑Contained in Su ❑Contained in Sum <br /> Bucket Diameter: / Z / L <br /> Bucket Depth: /3 /3 <br /> Wait time between applying <br /> vacuum/water and start of test: — <br /> Test Start Time(TI): /Z(2C� /700 <br /> Initial Reading(RI): /o-'/' <br /> Test End Time(TF): /3VV /,3O o <br /> Final Reading(RF): /2 - /Z <br /> Test Duration(TF-TI): <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> o awn .i D n n u II <br /> a � 9� <br /> Comments-(include information on repairs made prior to testing, and commended low ��� �� <br /> d follow-up for failed tests) <br /> Test Water: [7]Taken 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: '� OTTL#: 04-1676 <br />