Laserfiche WebLink
416 2nd Street Galt CA 95632 Spill Bucket <br /> AFF®R®A®TET (209) 744-0112 (209) 744-0116 FAX Test Report <br /> TEST DATE <br /> SITE NAME D,QIZI� /10 Al PHONE ( <br /> ADDRESS D 570 t - W CONTACT: <br /> C)c K-rc,� �/1 <br /> Inspector: i Presen Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: Hydrostatic D Vacuum D Other <br /> i Equipment Resolution: <br /> Test Equipment Used: /6pt✓ z _ <br /> Identify Spill Bucket(By Tank 1 4 <br /> Number,Stored Product, etc. i7 2 �-t 3 lE 4 <br /> irect Bury irect Bury irect Bury irect Bury <br /> Bucket Installation Type: 0 Contained in S 0 Contained in S 0 Contained in S D Contained in Sum <br /> Bucket Diameter: <br /> Bucket Depth: /3 3 I Z <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(Tt): �JcJO SCJ 860 850 <br /> Initial Reading(Ril: <br /> Test End Time(TF): J O Jr / Sd Sb <br /> � � t <br /> Final Reading(RF): <br /> Test Duration(Tp-TO: <br /> Change in Reading(RF-RD: <br /> Pass/Fail Threshold or <br /> &�Criteria: pp <br /> Comments- (include information on repairs made prior tote ting, and recommended ollow-u or ailed t is <br /> Test Water: FRITaken 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 /> ✓J�, —� ICC#: 5263322-UT <br /> Signature OTTL#: 04-1676 <br />