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. 0 0 <br /> AFFORDA-TE$T 416 2nd Street Galt CA 95632 Spill <br /> (209) 744-0112 (209) 744-0116 FAX <br /> Test Report <br /> TEST DATE 5-110 <br /> SITE NAME dAMtAeC PHONE ( ) <br /> ADDRESS 3304: CONTACT: <br /> Inspector: v Present Not Present <br /> 3., SPILL BUCKET TESTING INFO TION <br /> Test Method Used: Hydrostatic ❑Vacuum ❑Other <br /> Test Equipment.Used: d Equipment Resolution: <br /> Identify Spill Bucket(By Tank 1 2 .3 4 <br /> Number,Stared Product, etc. <br /> Bucket Installation Type: irect Bury Airect Bury ❑Direct Bury ❑Direct Bury <br /> •� ❑Contained in Surnp ❑Contained in Sump ❑Contained in Sump ❑Contained in Sum <br /> Bucket Diameter: i <br /> Bucket Depth: 12° 17-9 <br /> Wait time between applying <br /> vacuum water and start of test: <br /> Test Start Time(TO: O U rJ3 <br /> Initial Reading(RO: — ° <br /> Test End Time(TF): j p® d <br /> Final Reading(RF): ( ( -- 1 t <br /> Test Duration(TF—TI): L <br /> Change in Reading(RF-RO: <br /> Pass/Fail Threshold or <br /> Criteria: <br /> x <br /> Comments-(include informati o repairs made prior t testing, and recommended follow-up for faile tests) <br /> Test Water: Taken with tester ❑Left on site <br /> I hereby certify that all the information contained in this report is true, <br /> accurate, and in full compliance i uirements. Technician:., Zane A. Nimmo <br /> ICC#: 5263322-UT <br /> Signature: OTTL#: 04-1676 <br />