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Fora, 12/2004 <br />Spill Bucket 'Testing Form <br />FACILITY INFORMATION <br />Fags 1 oft <br />TESTING CONTRACTOR INFORMATION <br />Com, any Name: Franzen -Hill 1100 North J Street Tulare, CA 93274 (S59) 6882977 <br />Technician Conducting Test: <br />Credentials: x CSLB Licensed Contractor <br />SV/"RCB Licensed Tank Tester <br />License Type: A,B,C-61/D40 HAZ r <br />- - _ License lumber: 304147 <br />SPILL BUCKET CONTAINMENT BOJES <br />Facilit is Not Equipped With S ill/Ovcrfill ContaintnentBoxcs <br />Spill/Overfill Containment Boxes are Present, but were Not Tested <br />Test Method Deycloped By: Spill Bucket Manufacturer <br />Industry Standard <br />Other,(Specify) <br />Test Method Used: Pressure <br />Vacuum <br />Other (Specify) <br />Tcst Equipment Used: r r� -(1 «, <br />Bucket Diameter <br />Bucket .Depth: <br />Wait time between applyinj <br />pressure,1vacuuTZV%u.ater and <br />starting test: <br />Test Start Time: <br />Inaba] Rcading (R,): <br />Test End Time: <br />Final Reading (R.): <br />Test Duration: <br />Change in Reading (R�-R,): <br />Pass/Fail Threshold or <br />Criteria: <br />Test kesult: <br />Bucket: (;) L% Bucket: <br />r fri t vrrti Bucket: <br />1.VnT-\\xv rTT voN%,t, rTT Fn -- - - .. <br />�rofcssional Engineer <br />C'H drostatic <br />Resolution: G'► j <br />�u,t: <br />f] Pass 11 Fall Q' Pass . O Fail <br />I / T7 1v rM. <br />1 f <br />5 p r1 <br />S t <br />i0n7 <br />Pass C Feil <br />R bass ❑ Foil <br />1.VnT-\\xv rTT voN%,t, rTT Fn -- - - .. <br />�rofcssional Engineer <br />C'H drostatic <br />Resolution: G'► j <br />�u,t: <br />f] Pass 11 Fall Q' Pass . O Fail <br />