Laserfiche WebLink
SWRCB, January ZUUL <br />9. s/OVERFILL CONTAIN1VI NT BO <br />Facility is Not Equipped With Spill/Ovrtnll Containment Boxes ❑ <br />VF <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 (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: <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-Ri). <br />Pace/Fail Threshold or <br />Criteria: <br />Test Result: <br />Comment i — (include infc <br />Nl1fveCk iraen <br />Spill Box #�3- Spill Box <br />K) <br />1C 1 <br />ment Resolution: <br />Spill Box # �/ <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.swreb.ca.gov <br />Box # <br />❑ Pass ❑ Fail <br />3/ <br />L30 <br />�! Cw,(2- <br />❑ Pass ❑ Fail <br />❑Pass ❑ Fail <br />❑ Pass ❑ Fail <br />:)n repairs made prior <br />to testing, and recommended follow-up for) <br />yyon <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.swreb.ca.gov <br />Box # <br />❑ Pass ❑ Fail <br />