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SWRCB, January 2002 <br />10. SPILL/OVERFILL CONTAINMENT BOXES <br />Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br />RECEIVED <br />AUG 10 2010 <br />Page of <br />PERMIPSERVICES <br />Spill/Overfill Containment Boxes are Present, but were Not Tested X *See comments below <br />Test Method Developed By: ❑ Spill Bucket Manufacturer ❑ Industry Standard <br />❑ Other (Specify) <br />❑ Professional Engineer <br />Test Method Used: <br />❑ Pressure ❑ Vacuum <br />❑ Other (Specify) <br />❑ Hydrostatic <br />Test Equipment Used: <br />Equipment Resolution: <br />Spill Box # Spill Box # Spill Box # Spill Box # <br />Bucket Diameter: <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (Rj): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or <br />Criteria: <br />Comments — (include information on repairs made prior to testing, and recommended follow-up <br />for failed tests) <br />*Spill/Overfill Box tested annually with Monitoring System Certification. <br />