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SWRCB,January 2002 rage :- of w <br /> 9. S. L/OVERFILL CONTAINMENT BOA <br /> Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Spill Bucket Manufacturer t�(ffidustry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum 'f Iydrostatic <br /> ❑Other(Spec) <br /> Test Equipment Used: Equipment Resolution: b <br /> T . . . . F. �.ti'. �*x'�mlfW'k�i�t�U" ''.k'?, 'J�1;'9l�?�,�ti�I5�5�'ofK7".i�kf�le+v.;�t'�./�i��Yih`4i�Yl9i' RN'e'�ifa"/@+��t.�t"••,fur".�?��1u�'�'inNt'�5��28Y�R4� 'EFS#4'?F4`n' ��?�1�'F�.A"-�'t��hlib�'..,�"t"",9.�'.�X7 '� §���rlf+a�h'�.':: <br /> t <br /> Spill Box# ie Spill Box 4' Spill Box# 1 f Spill Box# <br /> Bucket Diameter: 5 12 <br /> Bucket Depth: LA ! <br /> Wait time between applying <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: q 71 6) 9 2 <br /> Initial Reading(Rj): u 3 <br /> Test End Time: D D -"L'-- <br /> Final <br /> Final Reading(RF): 13 <br /> Test Duration: Z- <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result Pass El Fail Pass ❑ Fail ass ❑Fail [I Pass El Fail <br /> Commenis — include information on repairs made prior to testing, and recommended follow-up for failed tests) <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 />