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AFFORDA-TE$T (209) 744-0112 2 <br /> 411 2nd Street <br /> Gait CA <br /> 6 FAX Spill Bucket <br /> � ) Test Report <br /> TEST DATE ; <br /> SITE NAME /—e'T <br /> ', II PHONE ( �c- <br /> - `� ) <br /> ADDRESS 133 , S �1 L-�, CONTACT: <br /> I <br /> Inspector: Present Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: f 'Hydrostatic ❑ Vacuum ❑Other <br /> Test Equipment Used: I SPE 1X12 Equipment Resolution: " <br /> Identify Spill Bucket(By Tank 1 2 W W 3 4 <br /> Number, Stored Product, etc.) g-J - 1 <br /> Bucket Installation Type: Direct BuryDirect Bury ❑Direct Bury ❑Direct Bury <br /> ❑Contained in Sum ❑Contained in Sum2 YContained in Su ❑Contained in Sum <br /> Bucket Diameter: Z <br /> Bucket Depth: <br /> 3 2 <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(Tj): r� <br /> Initial Reading(Rj): (3 3 1 7— <br /> Test End Time(TF): <br /> Final Reading(RF): <br /> Test Duration(TF—Tj): <br /> Change in Reading(RF-Rj): -- <br /> Pass/Fail Threshold or <br /> Criteria: <br /> `� °� c�'p du�lv�{r vh I n"Ur? If>I{rrl s I m lI,v I a u <br /> M1 eSlllt: �n v�a � "d � S�„I `aIIT� � ���. rJ�lYSS sE iI�I all i'�R� 7 ��+pass��r❑r$11 r.. <br /> i d,Pas r, <br /> Comments— (include information on repairs made prior to testing, and ecommen ed ollow-up for failed tests) <br /> Test Water: fzlTaken with tester ❑Left 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: Zane A. Nlmmo <br /> -------- ICC#: 5263322-UT <br /> Signature: OTTL#: 04-1676 <br />