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SWRCB,January2002 r <br /> 9. S /OVERFILL CONT NT B030 <br /> Facility is Not Equipped With SpilUOverfill Containment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ;pillBucket anufacturer <br /> Industry Standard ❑Professional Engineer <br /> Othe <br /> r <br /> (SpecO) <br /> Test Method Used: <br /> ❑Pressure ❑Vacuum ydrostatic <br /> ❑Other(Spec) <br /> tResolution:Equipmen <br /> Test Equipment Used: <br /> y.�igp p <br /> Spill Box# ` l Spill Box# Z (k5pill`Box# Spill Box# <br /> Bucket Diameter: f <br /> Bucket Depth: 12-` <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: d f <br /> 46 <br /> Initial Reading(Rj): - <br /> Test End Time: 1 <br /> f/ <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Rl). <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result• Pass ❑Fail Pass ❑Fail Pass ❑Fail ❑ Pass ❑Fail <br /> Commen>vs include in ormation on repairs made prior to testing, ana recommended follow-up for failed tests) <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 />