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ESpill Bucket Testing Report Fnfrrt` EIVED <br /> P �, leo <br /> 7/tis.Jnrrrr is inteade d fi,r tree by ccJrxtracturs l,t•r•furnrin anfiltal tc.rttn }J'I.S7'sErill c•rnrluuurturtr.,r (UYi r�,j The coop tleted fijr m and <br /> printvuts,fi•„Jtr fevr% (iI'applicahle),shotile/he provided to the.lotilitz rnrnz:r-t�rrerearar,fin-snhmiilu trt,la ,2 cr wi,a <rrt[.t <br /> 1. FACILITY INFORMATiON <br /> f Facility Name: IAT'FCA ARC() ..r l H <br /> t; Facilia•Address. -- 1'711 E YOSEMITE AVE �cit4:.MALATE ARTMENT-_M,.��_ <br /> __.._..._._._....._.._...._..... <br /> .._._. ___..._.__...._ ��_.__....._� ___............_............_._.._- _ <br /> I=acilitu C:'ttitlact: 1t1Vi' p Pitcrtte: Y — <br /> C7ate i.ocal A?er,Ct all <br /> T+lot <br /> iEied<tf Testing: ---.-....._.......-..__._...._. <br /> . _ ..____....__...__ __—,.___.__.___.__._........_.._._.. <br /> i Name of L,ctcaf A,enc� in pector lifpresen(t�urin tc�.ctirr ST CV 12tVEItA — <br /> ... _. <br /> 2 i LS-I I'NG CO�NTRAcTOR INFORMATION <br /> C omp tn: ti Jrttc: ...........—._RZ Service Station Maintenance <br /> T'ecltni;Ian C'ttitductin fest: KELVIN CRUZ <br /> _ _._.....-..._..........- <br /> CSI-13 C'onttactar iC"C S+rvice"T'cch. 5V1 RCE3 Tank]'ester )then(.'pee. v <br /> C rectenr rtf ' / f <br /> i T.icensc ti(fill belvo, 433159 <br /> 3.SPILL BUCKET TESTING INFO 11MA•T'ION <br /> Vest Method I iced: 0 Hydrostatic ElVacuum Q Uthrt <br /> Test Equiptt em Used:TAPE MEASURE EquipmentResolution: 1/16_.._ <br /> Identil� Spill Bucket(Bt 7irnk <br /> 1 � <br /> !3,-t 2 ; 3 4 <br /> tuttht'r.,Str_tr•r;.l l rutlta t. rtt'.i r <br /> s ❑Direct Bury ± Dirc ct B711%, t)rn ct t3urs , laireet f3utw <br /> t Bucket Installation I cps <br /> f-ttntatirled in Sump ❑Contained in Sutnp [ C vnuunt d in 5tum ❑Contained in Sump <br /> T3u.i�ct <br /> ant)s inotct....... -- <br /> ' <br /> .._._....._.... <br /> _ <br /> Bucket Depth: 13 —---—--------------- <br /> hetweertx g h1Y <br /> _— <br /> ._..__......_.. <br /> i <br /> Ya(.tft1177 `.t cCi' <br /> and stall oftest: � <br /> rnr t 1,f 11:17 f �._._ <br /> Test Starr I <br /> laiu+l lZr,r frn tRi} 12" <br /> Test I.,jid i ince(f !: 12:17 <br /> Final Readine,(R,): 121, <br /> _ _........__ __ ___...____ _._.._.._...__ .............:,......_......_ _..._.._........ ___....._....... _ <br /> rest D _uration(I r.. _ ---- -- — <br /> ......_..... <br /> _ ................---._-__— <br /> Chancte itt Readinu(R, R,): 0 � ; r< <br /> ... i <br /> Pass.'Fail'Thnshold or - _ — <br /> 4 <br /> t rtterta: ; <br /> Test Result ® Pass ❑Fai} i ❑ ('ass ❑ Fail ! ❑ Pass I Fult <br /> COiTttllr tlf5—/include it?iyint tion on riuirti mcuJe,prior io teying. and ccuntnturc% r fr llr,rr- fix fiti1ed tests) <br /> r <br /> rr..S U-D 57-1 BUC'KE I'ONI.,Y DUE TO NEW” FNST.ALL <br /> C E::Tt't"ll]Cr1"t l()h 01" TECHNICIAN RESPONSIBIA FOR CONDUCTING 'ITIIS TESTiNG <br /> I herehs ceniii that all the information contained in this report is true.accurate,and in full compliance with Iwai requirements. <br /> Technician's Si nature:.__.._,_ ....... Date:5/16/2013 <br /> -._......._....................._.__........................... ....— <br /> State laws and regulations,do not currently require testing to be perfarnted tip a quali[ied contractor. i Iatiret'cr, local requirrntents mai he more <br /> strin��Lnt. . <br /> Monitoring{_'_•t-tification Test Report <br /> 4 of 4 <br />