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From DIALYSIS NORTH t 19494501177 at 10 8/2002 2 . 25 PM 00_ <br /> SWRCK January 2002 Pagc Q of <br /> 9. SPILUOVERFILL CONTAINMENT BOXES <br /> Facili is Not Equipped With S ilVOverfill Containment Boxes !! <br /> 5 i lVOYerfi ll Containment Boxes are Present,but wens Not Tested <br /> Test Method Developed Bye =Spill Bucket Manufachuvr Indusby Standard a Professional Fngineer <br /> Other(Specify) <br /> Test Method Used: Pressure Vacuum a Hydrugiatic <br /> Other(Specify) <br /> Tcst Equipment Uxd: fA7-S AAA P tJ Equipment Resolution_ to <br /> _ � y. <br /> -- <br /> Spill Box it sldu Box* spill Box#11- e <br /> Buckct Diameter 12- •( 'r 12- •* 12, h <br /> Bucket Dmpth: 1 4f t' _ 'r i if If <br /> Wait time between applying <br /> pressuref4acuum/water and y <br /> stark tcst: C) ft4 i t AIJ Tek t J-j r 0 K, f 11 <br /> Tw Starr Timm: / / ! : ! y!4<-, <br /> Initial Reading(Ri). 0 ' ot'a If voo ++ Q -a nv •* &,Cev 4 <br /> Test End Time: S-7 1 Z S 2 <br /> FinalKeading(RO: __ ���oo� rr ,aoc + O . 0 • • •�aflr <br /> Teat Duration: l Z i,,. 12 mw <br /> Change in Reading(Rf-Ri): . rj p t► , a p of . oc+p I!, , Up0 r• <br /> Pass/Fail Threshold or �' 0 PZ '+ Y` v:�2 • i' , too Z +` }' to Obi <br /> Criteria: <br /> Test Result: ! Pass 2 Fail • Pas■ I Fail ■ pass !Feil IN Pags Fail <br /> Comments—(include information on repairs"tads prior to fesung.and rewmmende,d fallow-up f—failed teats) <br /> Ple"e direct tiny cam cats regarding this form to: <br /> SWRUB UST Progrwn,Atm:Scou Bacon <br /> 1001 -1-Soad,Box 944212 <br /> SsmLmento,CA 95814 <br /> Phono;(916)341-5873,Fax-(916)341-5808 <br /> a-"mil:bsoons@cwp4wrc6.ca.gtvv <br /> o,�l � <br />