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0 <br />SWRCB, January 2002 FINAL DRAFT Page 7 of 7 <br />8. SPILL/OVERFILL CONT NT BOXES <br />Facility is Not Equipped With Spill/Overfill Containment Box(es) ❑ <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 (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum ❑ Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Equipment Resolution: <br />Spill Box # Spill Box # Spill Box # 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 -N: <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result <br />❑Pass ❑Fail ®Pass ❑Fail <br />❑Pass ❑Fail <br />❑Pass ®Fail <br />Comments — (Include information on repairs made prior to testing, and recommended follow up for failed tests.) <br />None <br />Please direct any comments regarding this form to: <br />SWRCB UST Program, Attn: Scott Bacon <br />1001 "1" 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 />