Laserfiche WebLink
AFFORDA-TE$T 416 2nd Street Galt CA 95632 Spill Bucket <br /> (209) 744-0112 (209) 744-0116 FAX Test Report <br /> TESTDATE —� <br /> r �/ <br /> SITE NAME �� : t C All r , PHONE ( d ) <br /> ADDRESS14 + CONTACT: <br /> 0 Jv <br /> J <br /> Inspector: Present J Not Present <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: ❑Hydrostatic ❑Vacuum ❑Other <br /> Test Equipment Used: Equipment Resolution: <br /> Identify Spill Bucket(By Tank 1 2 3 4 <br /> Number,Stored Product, etc) <br /> irect Bury irect Bury ❑Direct Bury ❑Direct <br /> Bucket Installation Type: Bury <br /> ❑Contained in Sump ❑Contained in Sump ❑Contained in Sump ❑Contained in S <br /> ump <br /> Bucket Diameter: <br /> Bucket Depth: <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): 1 i L'' <br /> Final Reading(RF): 13 a/ <br /> Test Duration(TF—TI): O U r <br /> Change in Reading`RF,-RO: <br /> Pass/Fail Threshold or 1 � *� <br /> Criteria: <br /> COmmelxts-{include information o re airs made prior to ng, and recommended follow-up for failed tests). <br /> C <br /> Test Water: Taken with tester ❑Left on site <br /> 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 />