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SWRCB, January 2002 <br />9. S/OVERFILL CONT NT BO <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 Industry Standard ❑ Professional Engineer <br />❑ Other (Sped) <br />Test Method Used: ❑ Pressure ❑Vacuum '414ydrostatic <br />❑ Other (Spec) / <br />Test Equipment Used: Equipment Resolution: b t� <br />IN I/\ <br />Commenis —(include information on re aifs made prior to testing, and recommended follow -u for failed tests) <br />CnvJ\ q k pro <br />Please direct any comments regarding this form to: <br />SWRCB UST Program, Attn: Scott Bacon <br />1001 "P' 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 />Spill Box # <br />Spill Box # Cl i <br />Spill"Box #b Spill Box # <br />Bucket Diameter: <br />r <br />'' <br />Bucket Depth: <br />Q <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />10: 0 <br />Initial Reading (Rj): <br />Ci 1/14 <br />Test End Time: <br />c 3 <br />Final Reading (RF): <br />1 <br />q <br />1 <br />Test Duration:Irl <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or <br />Criteria: <br />��'-------r"' <br />Test Result- <br />11-4 Pass ❑ Fail <br />ass ❑ Fail <br />Pass ❑ Fail ❑ Pass ❑ Fail <br />IN I/\ <br />Commenis —(include information on re aifs made prior to testing, and recommended follow -u for failed tests) <br />CnvJ\ q k pro <br />Please direct any comments regarding this form to: <br />SWRCB UST Program, Attn: Scott Bacon <br />1001 "P' 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 />