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Sep. 8, 2017 8:44AM Donlee Pump Co No- 8205 P. 5 <br /> SWRCB'January 2006 <br /> Spill Backet Testing Report Form <br /> 1. SPILL DUcI(ET T)CISTING DT-OMIATION <br /> Test Method Used: 0 Hydrostatic 0 Vacuum (Other <br /> Test Equipment Used: JL&ke.- TMr- Equipment Resolution"I <br /> 1 gagnij-- I I M <br /> Identify Spill Bucket(By Tank '1 1?5.+ fy,t1 2 q I �'X% 3 4 <br /> 911mber,Sloredft:o-duct, ele. <br /> Bucket Installation Type: XDirect Bury 6Direct Bury 0 Direct Duty 0 Direct Bury <br /> D Contained in Sump 13 Contained in Sum 0 Contained in Sump 0 Contained in Sump <br /> Bucket Diameter: 1'-i " m" <br /> Buckot Depth: <br /> Wit time between applying vo� <br /> vacuum/wWr and start of test: <br /> Test Start Time(T,}. <br /> Initial Reading 0Q.— I'L 14 <br /> ' 0 8 <br /> Test Y-nd Time(fj), s EF ZOI/ <br /> -Final Reading(Rp): <br /> Test Duration(Tp—Tr): _---E&VjaQNME2j'AL–H—EAL-H <br /> Change in Reading(J4-RI), DEPARTMENT <br /> Passfflail Threshold or <br /> Criteria; <br /> Comments—(include Inforprotion on r52alrs made prior to testing, and recommended ft-Upforfailed tests <br /> CERM(CATION OF T.ECHNICIAN R-ESPONSIMB ro-ft CONDUCTING THIS TESTING <br /> I hereby cert JO that all the Information contain his report j$true,accurate,and hifiril compliance Wth legal requirements, <br /> TechniclAn's Signature: r Date: <br />