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SWRCB, January 2002 <br />9 SPILL/OVERFILL CONT NT BOXES <br />Page " of <br />Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br />Spill/Overfill Containment Boxes <br />are Present, but were Not Tested ❑ <br />Test Method Developed By: <br />❑ Spill Bucket Manufacturer ndustry Standard ❑ Professional Engineer <br />❑ Other (Specie) <br />Test Method Used: <br />❑ Pressure ❑ Vacuum ydrostatic <br />❑ Other (Sped) <br />Test Equipment Used: <br />6' -. "-, Equipment Resolution. /G+ <br />` 1ANK~' ~{'i � .'r ^ °.`1a n" �i <br />Spill Box # Spill Box # Spill' Box # Spill Box # <br />Bucket Diameter: <br />Bucket Depth: <br />, <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: - <br />.D <br />Initial Reading (Rj): <br />Test End Time: <br />C <br />Final Reading (RF): <br />(� <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result: <br />ass ❑Fail <br />❑Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Commenis — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Please direct any comments regarding this form to: <br />SWRCB UST Program, Attn: Scott Bacon <br />1001 "I" 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 />