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AFFORDA-TE$T 4W 416 2nd Street Galt CA 95632 Spill Bucket <br /> (209) 744-0112 (209) 744-0116 FAX Test Report <br /> -7 <br /> TEST DATE <br /> SITE NAME A)7,0 P) ('0 PHONE <br /> ADDRESS rO,6P 7 4) 'ZCONTACT: <br /> Inspector: <br /> Present Not Present <br /> 3. SPELL BUCKET TESTING INFORMATION <br /> Test Method Used: O'Hydrostatic 0 Vacuum 0 Other <br /> Test Equipment Used: -7-4 P6 "41 Equipment Resolution: <br /> Identify Spill Bucket(By Tank 1 2 3 4 <br /> Number,Stored Product, etc.) <br /> Bucket Installation Type: ;g <br /> )WMirect Bury VDirect Bury Direct Bury 0 Direct Bury <br /> 0 Contained in Sump El Contained in Sump El Contained in Sump 0 Contained in Sump <br /> Bucket Diameter: <br /> Bucket Depth: <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(Ti): <br /> Initial Reading(Rj): 6' 1? <br /> Test End Time(TF): <br /> Final Reading(R& <br /> Test Duration(TF-Tj): <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> MIT <br /> ,JK�3 <br /> WIN N VIENNA <br /> I <br /> Ileum .6" ","ism <br /> Comments — (include infiormatiJ�epa irs made prio��-6—�- 9, and recommendedfollow-�rp-f&rfd'iled tests) <br /> T-)l <br /> `r° (1 O�> r� G'1/l r:Cl ) C)r- C:e o 70 Lj <br /> Test Water: F]Taken with tester MrLeft on 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: Lyle D. Nimmo <br /> ICC#-: 5249115-UT <br /> Signature: OTTL#: 97-1143 <br />