Laserfiche WebLink
AFFORDA-TE$T 416 2nd Street Galt CA 95632 Spill <br /> (209) 744-0112 (209) 744-0116 FAX T <br /> est Report .7 <br /> TEST DATE <br /> SITE NAME a�NE�FF°5 (1���7r�sn+S _ PHONE ( ) <br /> ADDRESS CONTACT: I„� E> <br /> Inspector: gem" IACQ a 63 ( Present �N�otPresent <br /> .3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: Hydrostatic ❑Vacuum ❑Other <br /> Test Equipment Used: Equipment Resolution: <br /> Niffiem <br /> Identify Spill Bucket(By Tank 1 2 .3 4 <br /> Number,Stored Product, etc) <br /> Direct Bury Direct Bury ❑Direct Bury ❑Direct B <br /> Bucket Installation Type: Bury <br /> Contained in Su ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump <br /> Bucket Diameter: <br /> Bucket Depth: <br /> Wait time between applying <br /> vwuum/water and start of test: <br /> Test Start Time(TI): 13 Q 5C3 <br /> Initial Reading(R0: I `' t I® st <br /> Test End Time(TF): p rb <br /> Final Reading(RF): r'�c i C), r . <br /> Test Duration(TF—TI): <br /> Change in Reading(RF-Rj): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Comments-(include informati n n repairs made prior t6 testing, and recommended follow-up for failed tests). <br /> Test Water: ®Taken with tester QLeft�-on site <br /> I hereby certify that all the information contained in this report is true, <br /> accurate, and in full c a it egal requirements. Technician: , Zane A. Nimmo <br /> ICC#: 5263322-UT <br /> Signature: OTTL#: 04-1676 <br />