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AFFORDA-TE$T 416 2nd Street Galt CA 95632 Spill <br /> (209) 744-0112(209) 744-0116 FAX Test Report <br /> TEST DATE <br /> SITE NAME PHONE ( 0 ) _ <br /> ADDRESS 'Z�j �(� l CONTACT: ,/� <br /> 9 S202 <br /> Inspector: U ( Present / Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: kHydrost 'c ❑Vacuum ❑Other <br /> Test Equipment Used: -721, Equipment Resolution: fl c <br /> Identify Spill Bucket(By Tank 1 2 3 ' 4 <br /> Number,Stored Product, etc. <br /> Bucket Installation Type: Direct Bury Direct Bury Direct Bury XDirect Bury <br /> ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump <br /> Bucket Diameter: 11 I t I I I k. <br /> Bucket Depth: 14 d 13 <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(Ti): <br /> Initial Reading(RI): 10 — I Z 3 <br /> + 2°/ <br /> Test End Time(TF): <br /> Final Reading(RF): 13 _ 9 Z. <br /> Test Duration(TF—TI): IL <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> a <br /> Comments—(include inform tion on r airs made prior t testi , and recommen -up for failed <br /> Test Water: ❑Taken with tes�-.r 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 />