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SWRCB, January 2002 <br /> Page of <br /> 9. SPILL/OVERFILL CONTA <br /> rFacility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br /> /Overfill Containment Boxes are Present,but were Not Tested ENT HEALTMethod Developed By: ❑Spill Bucket Manufacturer ❑Professional Engineer <br /> ❑Other(Specie) <br /> Test Method Used: ❑Pressure ❑Vacuum tatic <br /> ❑Other(Specify) <br /> f 4> <br /> . . Equipment Resolution: <br /> ' / ' Com^✓ <br /> Ya"k1WE'5r�a$Test Equipment Used: S <br /> Spill BOX# <br /> .," Spill Box# Spill Box# Spill Box# <br /> Bucket Diameter: , <br /> Bucket Depth: I <br /> Wait time between applying <br /> Pressure/vacuum/water and <br /> s'arting test: �. <br /> `s tst Start Time: - C2 <br /> `;itial Reading(Rj): <br /> rest End Time: .f <br /> "incl Reading(RF): _ <br /> Test Duration: t <br /> Change in Reading(RF-Ri): <br /> Pass/Fail Threshold or r° r <br /> Criteria: a <br /> Test Result: ass ❑Fail ❑Fail ❑ Pass ❑Fail ❑ Pass ❑Fail <br /> Common repairs made Prior to testing, and recommended follow-up for failed tests) <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Atm: 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 />