Laserfiche WebLink
v 0 0 <br />416 2nd Street Galt CA 95632 Spill Bucket <br />AFFORDA-TE$T <br />20 744-0112 (209) 744-0116 FAX Test Report <br />TEST DATE <br />/15 /6 -7 - <br />NAME 64rWrla-l' /�C-zp .10�ez__ PHONE ( 2- Cc) <br />ADDRESS CONTACT: <br />4M4e4 <br />chi tJ C�' Present Not Present <br />3. SPELL BUCKET TESTING INFORMATION <br />Test Method Used: KHydrostatic D Vacuum D Other <br />Test Equipment. Used: —1 1=1 P E -Equipment Resolution: /1 <br />Identify Spill Bucket (By Tank 1 <br />Number, Stored Product, etc) <br />2 3 <br />4 <br />3 <br />Bucket Installation Type: )(Direct Bury <br />0 Contained in S <br />KDirect Bury 0 Direct Bury <br />D Contained in Sump 0 Contained in Sump <br />0 Direct Bury <br />0 Contained in Sump <br />Bucket Diameter: <br />Bucket Depth: <br />1.5 V2— <br />Wait time between applying <br />vacuum/water and start of test: <br />Test Start Time (TO: <br />Initial Reading (RI): <br />Test End Time (TF): <br />Final Reading (RF): <br />H <br />Test Duration (TF — TI): <br />Change in Reading (RF - RI): <br />Pass/Fail Threshold or <br />WAN <br />.Comments —. (include informatidnIon repairs made prior ting, and recommended follow-up forfailed tests) <br />Test Water:.+qq'Taken with tester E] 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. Nimmo <br />ICC #: 5263322 -UT <br />Signature: OTTL #: 04-1676 <br />