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J W 1\l.i), ,r an uaiy -- <br />9. SP 'OVERFILL, CONTAE141VI NT BOXES <br />Facility is Not Equipped With Spill/Oveffe ontainment Boxes ❑ <br />Spill/Overfill Containment Boxes are Present, but were Not Tested ❑ <br />Test Method Developed By: ❑Spill Bucket Manufacturer Industry Standard <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum <br />❑ Other (Spec) <br />Equipment Resolution: <br />❑ Professional Engineer <br />Test Equipment Used: <br />wl- <br />S-- Spill Box # j Spill Box # <br />Bucket Diameter: <br />1 <br />Bucket Depth: <br />1 '�— <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: - <br />1 2�0 <br />Initial Reading (Ri): <br />13 3 S <br />Test End Time: <br />156-0 <br />Final Reading (RF): <br />C X01 <br />Test Duration: <br />Change in Reading (RF-Ri). <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result: <br />Pass ❑ Fail <br />❑ Pass ❑ Fail <br />Spill' Box # <br />❑ Pass ❑ Fail <br />Spill Box # <br />❑ Pass ❑ Fail <br />Commen$s — (include in orrnation oiz re alts rrrade prior to testing, and recommended follow-up for failed tests) <br />l <br />Please direct any com-meitrs 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.swreb.ca.gov <br />