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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 DZTE ,,SITE NAME NCS �a� l l G�ca�L. PHONE ADDRESS �/�12�!<!f� Gn/ CONTACc 4,Inspector: Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: Hydrostatic D Vacuum D Other <br /> Test Equipment Used: —TAp E i0 Equipment Resolution: t " <br /> Identify Spill Bucket(By Tank 1 8-72 3 4 <br /> Number,Stored Product, etc. <br /> ❑Direct B Bury <br /> Bucket Installation Type: �Y ❑Direct Bury ❑Direct Bury ❑Direct <br /> Contained in Sump Contained in Sump D Contained in S D Contained in S <br /> Bucket Diameter: t 1 t <br /> Bucket Depth: z ( y z <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(Tt): `�J� S q ,5 _ <br /> Initial Reading(R0: 3 1 <br /> Test End Time(TF): <br /> Final Reading(RF): _ <br /> Test Duration(TF—Tj): <br /> Change in Reading(RF-Rj): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> .Comments—(include in ormari n repairs made prior totesttn , and recommended follow-up orfailed tests <br /> Test Water: ®Taken with tester Left on site <br /> 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 />