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SWRCB,January 2002 Page of <br /> Site Name: Address: <br /> 4. MMUOVERFIOLL CONTAINAffNT BOXIES <br /> Facility is Not Equipped With Spill/OverfiH Containment Boxes 0 <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested D <br /> Test Method Developed By: 0 Spill Bucket Manufacturer dustry Standard 0 Professional Engineer <br /> 0 Other(Specify) <br /> Test Method Used: 0 Pressure C Vacuum hydrostatic <br /> 0 Other(Specify) <br /> Test Equipment Used: I Equipment Resolution: <br /> Spill Box# Sp,�l Box# � SQili Boa# <br /> 1Bu=ck!ataiameter. ` JO / „� l- 1 '�epth: - <br /> Wait time between applying <br /> pressure/vacuum/water and CIdle ✓ <br /> starting <br /> test: <br /> Test Start Time: �®'�y <br /> Initial Reading <br /> Test End Time: -3 � C 1 <br /> Final Reading(Rr): P <br /> Test Duration: P✓;/ «- ' 1'f� �'�� <br /> +Change in Reading(RF-RA): <br /> Pass/Fail Threshold or <br /> Criteria: f' /' <br /> Test Result 0 PM 0 Fail 0 Pass 0 hail dPass 0 Fail Apm ❑Fail <br /> Comments—(include a#armanon on repairs made prior to testing, and recommenced follow-up for faded tests) <br /> y <br /> f.z <br /> / P <br /> 6 Gd •G� f <br /> Technician Name: <br /> Q <br /> Sip-nature: / <br /> Test Date: t '� <br />