Laserfiche WebLink
SWRCB, January 2002 <br />9 SPILL/OVERFILL CONTAINMENT BOXES <br />Page = of <br />Facility is Not Equipped With S illJOverfill Containment 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: ❑ Pressure ❑ Vacuum �Iydrostatic <br />❑ Other (Spec) <br />Test Equipment Used (fit) r'{' ; /T' e- Pe rA SCA 1n c Equipment Resolution <br />t J,454t4, ... ,: �'a Fn.i jij!'WzaS�✓'t R!N°' %'q�,,.t'3n`:',"t a --1`N n:ra e�.,�q%airY kms!, ;tirvi'4 )CI" y�'Y':�C rs t(.'; . <br />{,`�� Spill Box # Spill Box # Z Spill Box # Spill Box # <br />Y <br />1. ��. d,... v, M - . <br />Bucket Diameter: <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />33 0 <br />1 3 Z 5— <br />Initial <br />Initial Reading (Ri): <br />Test End Time: <br />Final Reading (RF): <br />". <br />Test Duration: <br />/ ��2 • <br />(Z <br />Change in Reading (RF-Ri): <br />Pass ail Threshold or <br />Criteria: <br />Test Result: <br />L Pass ❑ Fail <br />Pass ❑ Fail <br />L1 Pass Ll Fail <br />L1 Pass ❑Fail <br />Comments (include information on repairs made prior to testing and recommended follow-up foyr failed tests) <br />!�F ►4 S'ti n E ►v+t N % 'R �.. '� �� e7- ?�1,a. %� r� '�- O a� i� Q I..K IE <br />Please direct any comments regarding this form to: <br />SWRCB UST Program, Attn: Scott Bacon <br />1001 -r, 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 />