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SWRCB, January 2002 <br />9. SPILL/OVERFILL CONTAI41VI NT BOXES <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 ndustry Standard <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum <br />❑ Other (Spec) _— <br />Equipment Resolution: <br />B T Spill Box # <br />Test Equipment Used: /7. - <br />Bucket <br />i. - <br />Bucket Diameter: <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: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -R,): <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result: <br />Page of <br />❑ Professional Engineer <br />otfy r tatic <br />SD Spill Box # I � O a S <br />�... <br />ass ❑ Fail <br />❑ Pass ❑ Fail <br />Spill Box # <br />❑ Pass ❑ Fail <br />Commenl<s — (include in ormation on repairs made prior to testing,Y and recommended follow -u for jattea 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.swrcb.ca.gov <br />