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SWRCB,January 2002 <br /> 9. SP VERFILL CONTAINMENT BORE <br /> Facility is Not Equipped With Spill/OverfifMontainment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Spill Bucket Manufacturer &Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: <br /> ❑Pressure ❑Vacuum yHydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution ' <br /> . ',rM'iPJ?'.6vc+ApCler:3, d�4ucA'iikiklR lk?1n!'. iY.E+`7+.'''u3Yciw�dik«'' kaeak?AafiF�'.'d 'Ni5'ktA='kff?YAYI.."...4m;nN�1. S,KiFCW' <br /> k. d <br /> Spill Box# Spill Box# Spill Box# gJj Spill Box# �j <br /> Bucket Diameter: I� <br /> Bucket Depth: <br /> Wait time between applying _ <br /> pressure/vacuum/water and _ <br /> starting test: <br /> Test Start Time: - o o 3 <br /> 3/ <br /> Initial Reading(Rj): <br /> Test End Time: C7o ) _ <br /> 2 —13/1 <br /> Final Reading(RF): _ <br /> Test Duration: O hou t _ <br /> Change in Reading(RF-R& <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result: Pass ❑Fail Pass ❑Fail '3C Pass ❑Fail ❑ Pass ail <br /> Commenis —(include information on re airs made for to testing, and recommended follow-upfor failed tests) "\ <br /> O a1 Y C� \ n-c-A Cit r an s c,. ,UYY l� TU lul pp �»Yls <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Attn: Scott Bacon <br /> 1001 "I" 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 />