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416 2nd Street Galt CA 9560 Spill Bucket <br /> AFFORDA-TE$ (209) 744-0112 (209) 7.44-0116 FAX Test Report <br /> " TEST DATE <br /> SITE NAME PHONE ( ) <br /> d � <br /> ADDRESS � aC`,,, CONTACT: <br /> Inspector: r--P (" Present c/ Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: 3°Hydrostatic D Vacuum ❑Other <br /> Test Equipment Used: p Equipment Resolution: <br /> Identify Spill Bucket(By Tank 1 23 4 <br /> Number, Stored Product, etc. ��(�� �� NJ <br /> Bucket Installation Type: Direct Bury Direct Bury ❑Direct Bury ❑Direct Bury <br /> ❑Contained in Sump ❑Contained in Sump ❑Contained in Su ❑Contained in Sum <br /> Bucket Diameter: 1 .2 <br /> Bucket Depth: <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(Ti): CJJ bc) <br /> Initial Reading(RI): } <br /> ® Test End Time(TF): (; <br /> Final Reading(RF): <br /> Test Duration(TF—Tj): ,y , <br /> Change in Reading(RF-RO: - <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Comments— (include information on repairs made prior to testing, and recommended follow-up for failed tests) <br /> Test Water: ETaken with tester [:]Lefton 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:" Lyle D. Nimmo <br /> ICC#: 5249115-UT <br /> Signature: OTTL#: 97-1143 <br />