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® <br />AFFORDATE$T <br />416 2nd Street <br />Galt CA 95632 Spill Bucket <br />(209) 744-0112 <br />(209) 744-0116 FAX Test Report <br />4 <br />Bucket Installation Type: &Pffe--ci Bury <br />0 Contained in Sump <br />TEST DATE <br />SITE NAME <br />Bucket Diameter: J—z <br />PHONE (J7 D- <br />ADDRESS <br />Bucket Depth: <br />-CONTACT: <br />V— <br />Inspector: -7-x� <br />=Presen Not Present <br />3.. SP L BUCKET TESTING INFORMATION <br />Test Method Used: 811ydrostatic 0 Vacuum 0 Other <br />Test Equipment Used: e t, Equipment Resolution:�/6 <br />Identify Spill Bucket (By Tank 1 <br />Number, Stored Product, etc.) <br />2 3 <br />4 <br />Bucket Installation Type: &Pffe--ci Bury <br />0 Contained in Sump <br />RVir`ect -Bury ❑OD.irect Bury <br />0 Contained in Sump 0 Contained in Sump <br />0 Direct Bury ' <br />El Contained in;Sum] <br />Bucket Diameter: J—z <br />Bucket Depth: <br />Wait time between applying <br />vacuum/water and start of test: <br />Test Start Time (TI): <br />Initial Reading (RI): ZI -j <br />2 /- <br />Test End Time (TF): <br />Final Reading (RF): <br />Test Duration (TF — TI): <br />Change in Reading (RF - RI): <br />Pass/Fail Threshold or <br />Criteria. <br />M— W1111 <br />I.snail <br />I Comments — (include information w -up for failed tests) <br />Test Water: -14 Taken with tester ❑ Lefton site <br />I hereby certify that all the information contained in this report is true, <br />accurate, and in full compliance with legal requirements. <br />Signature: <br />Technician:' Lyle D. Nimmo <br />ICC *: 5249115 -LIT <br />OTTL;ff-: 97-1143 <br />