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t <br />SVVRCB, January 2002 0 0 Page i� of <br />n snrr r 1riervixvra T 9-nVT'A TNTMVNT RnY- ..0 <br />Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <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 (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum <Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: ELLDS Equipment Resolution: .0007 <br />Bucket Diameter: <br />ASpill Box # / <br />Eg ° Spill Bog # ! 6 Spill Boz # �/ <br />Spill Boz # <br />2 <br />Bucket Depth: <br />%-Z < <br />f °%°'` < o' 3-k <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />30 minutes <br />30 minutes 30 minutes <br />30 minutes <br />Test Start Time: <br />. t`J.' 7s <br />: ; i l Z7 <br />Initial Reading (R): <br />l . 5 17 <br />1 2 1, 512 % <br />Test End Time: <br />C) S'Z <br />/ 1f! //-, �, z <br />Final Reading (RF): <br />J, 65Z? <br />t, Z y 1,5,q, 7 <br />Test Duration: <br />15 minutes <br />15 minutes 15 minutes <br />15 minutes <br />Change in Reading (RF -RI): <br />00115' <br />Pass/Fail Threshold or <br />Criteria: <br />0.0020 <br />0.0020 0.0020 <br />0.0020 <br />Test Result: <br />Pass ❑Fail <br />9 Pass ❑ Fail X Pass ❑ Fail <br />❑ Pass ❑Fail <br />Comments — (include information on repairs made prior to testing and recommendedfollow-up for failed tests) <br />1960 #2®,133 <br />1 pie 11 r6 St. <br />Y9C. <br />S'9 9891.1 k 95376 <br />#IVI1®93 ��y <br />