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SWRCB,January 2002 Page /_ or c- <br /> 9. AIJOVERFILL CONTAINMENT BO <br /> Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Spill Bucket Manufacturer 5ZIndustry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum 'Hydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> ',Qa, ^uhJr1'FsSil?}dAF.a�e`iu;'sp^wl'zy,iA :k3,4�M1A'r�F'.fry �91P7GNr G'yAt:6RA%Sfitl66&N .. '. "*akW. ii: <br /> ttt� � vyi� tyii � duh tt, , i Spill Box# Spill Box#S Spill Box# Spill Box# <br /> Bucket Diameter: I I I 1 <br /> Bucket Depth: ' I <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: 'L <br /> Test Start Time: <br /> Initial Reading(R): <br /> Test End Time: <br /> Final Reading(R* (p <br /> Test Duration: ✓ <br /> Change in Reading(RF-Rj): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result: Pass ❑Fail Pass ❑Fail Pass ❑Fail ❑ Pass ❑ Fail <br /> Commenfs - include in ormation on re airs made prior to testing, dna recommended ollow-upfor failed tests) <br /> M PL SVC er}� roon t�jo OMI' toF [� <br /> 0 Vr' O 1 <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Attn: Scott Bacon <br /> 1001 'T'Street,Box 944212 <br /> Sacramento,CA 95814 <br /> Phone: (916)341-5873,Fax:(916)341-5808 <br /> e-mail:bacons@cwp.swrcb.ca.gov <br />