Laserfiche WebLink
SWRCB, January 2002 <br />Is <br />• <br />Page I of I <br />n onr7 z /rvtT `DT.ii i d-r%WTA1rNM1WNT R(1XFS <br />Comments (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />Spill/Overfill Boxes tested annually with Monitoring System Certification. <br />7• Vl iLL/ V � aJa�a iyL v - --- - - <br />Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br />Spill/Overfill Containment Boxes are Present, but were Not Tested (See Comments below!) <br />Test Method Developed By: <br />❑ Spill Bucket Manufacturer ❑ Industry Standard [I Professional Engineer <br />❑ Other (Specify) <br />Fest Method Used: <br />❑ Pressure ❑Vacuum ❑Hydrostatic <br />❑ Other (Spec) <br />Test Equipment Used <br />Equipment Resolution: <br />wE �'7 'ti 5' <br />Aw <br />s'�54' •: ? ,'41:#aP r. d.: .'" '.: <br />Spill Box # Spill Box # <br />Spill Box # Spill Box # <br />tk wcH <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 />Duration: <br />nge in Reading (RF-Rj): <br />F <br />/Fail Threshold or <br />eria: <br />Test Result: <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Comments (include information on repairs made prior to testing and recommended follow-up for failed tests) <br />Spill/Overfill Boxes tested annually with Monitoring System Certification. <br />