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n <br />SWRCB, lamwy 2002 <br />8_ rnNTA7NMFNT RnYTR <br />Page of <br />Facility is Not Equi ped With S iIVOverfiR Containment Boxes ❑ <br />SpUYOverM Contaminent Boxes are Present, but were Not Tested ❑ <br />Test Method Developed By: <br />❑ Spill Bucket Mww&cturer <br />Other (Specify) <br />Industry Standard ❑ Professionai Engu = <br />Test Method Used: <br />, Pressure <br />❑ Other (Specify) <br />❑ Vacuumydrostanc <br />Test Equipment Used: <br />Bucket Diameter: <br />Spill Box # l <br />Spill Box # y <br />Equipment Resolution: <br />Spy! Boa # <br />B1JClGEt Depth: <br />V <br />Wait time between applying <br />pressur&vacuum/water and <br />starting test: <br />. <br />a rn <br />'Oe <br />Tear Start Time: <br />le <br />Initial Reading W: <br />Test End Time: <br />!%Di <br />Ord <br />/ y 6, <br />Final Reading (RF)- <br />Test Duration: <br />Change in Reeding (R -RAJ: <br />Z!4— <br />Pass/Fail 11reshold or/�� <br />Criteria: f <br />�/ <br />� d� <br />/FT <br />A,P <br />�i� a <br />COMMenft — (mch de information on repairs made prior to testing, and recommended foltaw-apjor failed tuts) <br />