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AFFORDA-TE$T 416 2nd Street Galt CA 95632 Spill Bucket <br /> (209) 744-0112 (209) 744-0116 FAX Test Report <br /> TEST DATE ( ®, <br /> SITE NAME P45 _ PHONE ( qoJ - 3 <br /> l'1 <br /> ADDRESS t5- 0 A6 CONTACT: r <br /> Inspector: 6&1 resent / Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: Hydrostatic ❑Vacuum ❑Other <br /> Test Equipment.Used: q pk Equipment Resolution: t ` <br /> Identify Spill Bucket(By Tank 1 2 t 3 4 <br /> Number,Stored Product, etc. <br /> Bucket Installation Type: irect Bury irect Bury RDirect Bury Direct Bury <br /> ❑Contained in Sump ❑Contained in Sum ❑Contained in Su ❑Contained in Sum <br /> Bucket Diameter: <br /> Bucket Depth: <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(Ti): <br /> Initial Reading(RI): 1 2— <br /> Test <br /> Test End Time(TF): q 1 <br /> Final Reading(RF): 12- 1 !> 2 3/ <br /> Test Duration(TF—TI): <br /> Change in Reading(RF-Rj): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> .Comments-(include info anon on pairs made rior testi , and recommen4edfoljupforfailedte'� <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 with legal requirements. Technician: , Zane A. Nimmo <br /> ICC#: 5263322-UT <br /> Signature: - OTTL#: 04-1676 <br />