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J VV 11 VU5 JGll,ucuy tVV_ <br /> 9. SP /OVERFILL CONT NT BO <br /> Facility is Not Equipped With Spill/Over7ffContainment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Spill Bucket Manufacturer1.Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used--A— P p, Z'� Equipment Resolution <br /> ,. .. '.�., � ie J�Y:i' '-. �" �'�F"#,�°kt7� ,.�i' 3.4s�,t� L"5�. ?i� �C',�'",�7.2`�� r�is�'�r:S3,.' �1'�!k��f�'P7�.PA.'n�2YA"�ee�`.+k"�i�1�""'3dv`�i�' t�..�^� �,�� �`�:'�.#�4s�Y;u -_ ?4'G.,�4d, �^. .u�'{:.-. �s`.. °4rJ6u✓i1,�3'>e';' <br /> Spill Box# Spill Box# y�`7 Spill Box#1'�� Spill Box# <br /> Bucket Diameter: t , P <br /> Bucket Depth: <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: _ d 5 <br /> Initial Reading(Ri): 14,! 15;- 0/ <br /> 3 <br /> Test End Time: `a 5- / 7 �67 <br /> Final Reading(RF): <br /> Test Duration: ld 1 1 <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result: ❑ Pass ❑Fail Pass ❑Fail Pass ❑Fail ❑ Pass ❑Fail <br /> Commenis —(include information on re aifs made prior to testing, and recommended follow-up for failed tests) <br /> f r <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 />