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11 <br />SPILL/OVERFILL CONTAINMENT BOXES <br />2 <br />Page 1 of _8_ <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 (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum ® Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: Caldwell Level Indicator Equipment Resolution: .002 <br />Spill Box # <br />Spill Box # Spill Box # Spill Box # <br />Bucket Diameter: <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />test: <br />-starting <br />Test Start Time: <br />Initial Reading (RI): <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 />Test Result: <br />❑ Pass ` ❑ Fail <br />❑ Pass ❑ Fail ❑ Pass ❑ Fail ❑ Pass ❑ Fail <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br />Fill spill buckets tested with annual monitor certification. <br />Page 7 of 8 <br />