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SWRCB, • • <br />Page _ <br />A RPTT r i nUVn V" r n� . • �... <br />Facility is Not Equipped With <br />-- -- - —'--. a. "A i'LL -CS' <br />Spill/Overfill Containment Boxes ❑ t <br />6nq r� r L✓q `� e � A . <br />Spill/Overfill Containment Boxes are Present, but were Not Tested ❑ 5-d 8 Cry <br />Test Method Developed By: <br />❑ Spill Bucket Marmfacturer <br />d c�c o <br />asny Standard ❑ Professional Engineer <br />❑Other (SveClY) <br />Test Method Used: <br />0 Pressure 0 vacuum FM ydmsfatic <br />0 Other (Spec) <br />Test Equipment Used: <br />Equipment Resolution: <br />yz• <br />Spill Box # MR Box # <br />Spill Box # Spill Box # <br />Bucket Diameter: <br />f Z` ' Z ` e <br />! 2— ' <br />Bucket Depth: <br />r t <br />Wait time between applying <br />pressure/ acurmhvater and <br />startlnv test. <br />Test Start Time: <br />dd <br />u <br />Iiti d Reading (F4): <br />Test End Time: <br />C 00 /OO a <br />d pG <br />Final Reading (RF): <br />e <br />t <br />Test Duration: <br />Change in Reading (RF -R). <br />PasFail Threshold or_ <br />Criteria: <br />Test Result: <br />Ef Pass ❑ Fail Ef Pass ❑ Fail <br />FrPamm ❑ Fail <br />❑ Pass ❑ Fail <br />Comments — rinclude information on repairs made prior to testing and recommended follow-up forjailed tests) <br />