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SWKCB, January'1UUL <br />9. SIA&VOVERFILL CONT NT BOA <br />Facility is Not Equipped With Spill/Oveix 1 Containment Boxes Ci <br />Spill/Overfill Containment Boxes are Present, but were Not Tested 0 <br />Test Method Developed By: 0 Spill Bucket Manufacturer siry Standard <br />❑ Professional Engineer ' <br />0 Other (Spec) <br />Test Method Used: 0 Pressure 0 Vacuum 01°i�drss't�tic <br />F-1 Other (Snecifv) <br />Test Equipment Used: Al_- Equipment Resolution:. <br />:. as <br />Spill Box # Spill Box # Spill' Box # Spill Box # <br />Bucket Diameter: _3 <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (Ri): <br />Test End Time: j <br />Final Reading (RF): <br />Test Duration: "I7 > <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result 9-1—as—sl Fail 0—Pass-0 Fail <br />❑ Pass ❑Fail <br />❑Pass ❑Fail <br />Commenis — (include information on repai{s made prior to testing and recommended follo/w-up jor jauea rests) <br />11V' a -7L <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 />