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416 2nd Street Galt CA 95632Spill et <br /> AFFORDA® (209) 744-0112 (209) 744-0116 FAX <br /> Test Report <br /> TEST DATE 13 <br /> SITE NAME W etrr Lets jr_ ��lIEt_-S �/ !�t_epc_-> PHONE <br /> ADDRESS 3 3 0® CONTACT: <br /> Inspector: Present / Not Present <br /> 3. ILL BUCKET TES'T'ING INFORMATION <br /> Test Method Used: ydrostatic 0 Vacuum ❑Other <br /> Test Equipment Used: Equipment Resolution: <br /> Identify Spill Bucket(By Tank 1 2 .3 4 <br /> Number,Stored Product, etc. <br /> Bucket Installation Type: Direct Bury Airect Bury ❑Direct Bury ❑Direct Bury <br /> ❑ ontained in <br /> Sump ❑Contained in Sump ❑Contained in S ❑Contained in Sum <br /> Bucket Diameter: [ l <br /> Bucket Depth: ( � " <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(Ti): 133c.� f33® <br /> Initial Reading(RI): <br /> Test End Time(TF): N-56 ' c{ <br /> Final Reading(RF): 9 t f <br /> Test Duration(TF—TI): <br /> Change in Reading(RF-Ro: �-- <br /> Pass/Fail Threshold or <br /> Criteria: <br /> .Comments.-(include information on repairs made prior to t ting and recommended follow-up for failed tests) <br /> Test Water: XTaken 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;, Zane A. Nimmo <br /> ICC#: 5263322-UT <br /> Signature: OTTL#: 04-1676 <br />