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0 0 <br /> ®® ®� � 416 2nd Street Galt CA 95632 Spill Bucket <br /> 1� (209) 744-0112 (209) 744-0116 FAX Fest Report <br /> 3 <br /> TEST DATE Z /2 op), <br /> SITE NAME Yooa LEsS PHONE ( ) <br /> ADDRESS Ala-5onI Way CONTACT: G11gEQ-p <br /> S-�o�KyorV � y'S,7t?5 <br /> Inspector: Muo.tt SA�1 � oga.LL\�J Present <br /> 9l Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: DrHydrostafic 0 Vacuum D Other <br /> Test Equipment Used: --TAPE ad Equipment Resolution: r ILL^ <br /> Identify Spill Bucket(By Tank 1 9N7- 2 9 I 3 4 <br /> Number,Stored Product, etc. <br /> ❑Direct Bury 0 Direct Bury 0 Direct Bury 0 Direct Bury <br /> Bucket Installation Type: Contained in Sump Contained in Sump 0 Contained in Sump 0 Contained in S <br /> ump <br /> Bucket Diameter: 12 17 <br /> Bucket Depth: <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(Tj): toys <br /> Initial Reading(R4): )xj <br /> Test End Time(TF): 1145 t I-S <br /> Final Reading(RF): t3I( r v- <br /> Test Duration(TF—Ti): 4{2 12 <br /> Change in Reading(RF-Rt): $— — <br /> Pass/Fail Threshold or <br /> Criteria: <br /> : . �^ . I 110, sir r, 0[( ail4s�� il, " � <br /> F,w, . s Datl�4 An <br /> Comments —(include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Test Water: ®Taken with tester Lefton 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; , Zane A. Nimmo <br /> ICC#: 5263322-UT <br /> Signature: . __.t OTTL#: 04-1676 <br />