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J VY 11--, Jauauua J d— -- <br />9. <br />SP 7 OVERFILL CONT 1>TT SORES <br />Facility is Not Equipped With Spill/Ove ontainment Boxes ❑ <br />Spill/Overfill Containment Boxes are Present, but were Not Tested 0 <br />ndustry Standard ❑ Professional Engineer <br />Test Method Developed By: <br />❑ Spill Bucket Manufacturer <br />0 Other (Spec) <br />Test Method Used: <br />❑ Pressure ❑ Vacuum ydrostatic <br />Other (Spec) it <br />Equipment Resolution: l to <br />Test Equipment Used: <br />11 11, '� <br />1 jl� 1111011 101 <br />W <br />Spilt Box # Spill Box # <br /># Spi <br />Spill Box # F ( Spill Box81 <br />Bucket Diameter: <br />Bucket Depth: <br />` 1 <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />t <br />Test Start Time: - <br />Initial Reading (Ri): <br />Test End Time: <br />Q l ®1 <br />Final Reading (RF): <br />Test Duration: <br />- <br />Change in Reading (RF-Ri): <br />Pass/Fail Threshold or <br />�PassEolFail <br />Criteria: <br />Test Result: <br />Pass ❑Fail ❑ Pass ❑Fail ❑Pass ❑ Fail <br />C.ammenis — (include information on repaifs made prior to testing and recommended follow-up for failed tests) <br />Please direct any comments regarding this form to: <br />SWRCB UST Program, Attn: Scott Bacon <br />1001 "1" Street, Box 944212, <br />Sacramento, CA 95814 <br />Phone: (916) 341-5873, Fax: (916) 341-5808 <br />e-mail: bacons@cwp.swrcb.ca.gov <br />