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SRrRCB,January 2002 FINAL DRAFT Page 7 of 7 <br />9. SPILL/OVERFILL CONTAINMENT BOXES <br />Facility is Not Equipped With Spill/Overflll Containment Box(es) ❑ <br />SpiliiOverfill Containment Boxes are Present, but were Not Tested a <br />Test Method Developed By: ❑ Spill Bucket Manufacturer El Industry Standard ❑ Professional Engineer <br />1 cST rvtemoa usea: U Pressure ❑ Vacuum ❑Hydrostatic <br />El Other (Specify) <br />Test Equipment Used: -Equipment Resolution: <br />Spill Boa # I Spill Boz # Spill Boa 4 Spill Bos # <br />Bucket Diameter: <br />( <br />-� <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (Rt): <br />Test End Time: <br />I <br />p <br />Final Reading (RF): <br />I! <br />Test Duration: <br />Change in Reading (RF -Rt): <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result <br />[-]Pass❑Fail <br />❑Pass ❑Fail I <br />[]Pass ❑Fail [-]Pass ❑Fail <br />Comments— (Include information on repairs made prior to testing and recommended follow-up or jailed tests) <br />Please direct any comments regarding this form to: <br />S:%RCB UST Program, Attn: Scott Bacon <br />1001 `1" Street, Box 944212 <br />Sacramento, CA 95514 <br />Phone: (916) 341-5373, Fax: (916) 341-5305 <br />e-mail bacons.gcwp.swrcb.ca.gov <br />