Laserfiche WebLink
-Spill Bucket <br />416 2nd Street Gait CA 95632 <br />AFFORDA-TE$T -0112 <br />�., .. . FAX <br />Re:(209) 744port <br />i. , <br />TEST DATE 47 <br />---- -i— _0 <br />/M► <br />SITE NAME <br />&-fie�WA-X <br />ADDRESS S. CONTACT: . , <br />Spector- SW J® <br />W A.3 <br />CPresent:��/ Not Present <br />3. SPILL BUCKET TESTING INFO TION <br />Test Method Used: <br />9HYdrostatic <br />❑ Vacuum <br />❑ Other <br />Test Equipment Used: &e 2 c✓ <br />Equipment Resolution: 1, ("0 <br />Identify Spill Bucket (By Tank <br />Number, Stored Product, etc.) <br />1 „ �, <br />2 <br />91 <br />3 <br />4 <br />Bucket Installation Type: <br />Direct Bury <br />❑ Contained in Sump <br />PWirect Bury <br />❑ Contained in Sump <br />❑ Direct Bury <br />❑ Contained in Sump <br />❑ Direct Bury <br />❑ Contained in Sump <br />Bucket Diameter: <br />Bucket Depth: <br />i 5 °Y <br />Wait time between applying <br />vacuum water and start of test: <br />®_ <br />Test Start Time (TI): <br />t C} p <br />I p <br />Initial Reading (Ri): <br />i q IIS <br />Test End Time (TF): <br />2 to <br />j Z `( v <br />Final Reading (RF): <br />, Y---- <br />Test Duration (TF — TI): <br />Ha <br />Change in Reading (RF - RI): <br />Pass/Fail Threshold or <br />Criteria: <br />,Comments —(include information n repairs made priort ting, and recommended follow-up for failed 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 -with legal requirements. Technician:. <br />ICC #: <br />Signature: OTTL #: <br />Zane A. Nimmo <br />5263322 -UT <br />04-1676 <br />