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SWRCB, January 2002 Page _ of <br />10 SPILL/OVERFILL CONTAINMENT BOXES <br />Facility is Not Eguipped With Spill/Overfill Containment Boxes ❑ <br />Spill/Overfill Containment Boxes are Present, but were Not Tested X *See comments_:, ? <br />Test Method Developed By: ❑ Spill Bucket Manufacturer ❑ Industry Standard ' Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum L Hydrostatic <br />❑ Other (Specify) <br />Test Equipment Used: <br />Spill Box # Spill Box # <br />CquipmentResolution: <br />Spill Box # Spill Box # <br />Bucket Diameter: <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (Ri): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -R,): <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result: <br />Comments — (include information on repairs made prior to testing and recommendedJottow-up )orfauea tests) <br />*Spill Buckets tested annually with Monitoring System Certification. <br />