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® 1 <br />SWRCB, January 2002 Page ____ of <br />Bucket Diameter: <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />Test Start Time: <br />Initial Reading (Ri): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF-Rj): <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result: <br />Comments —_(include information on repairs made prior to testing and recommended follow-up for failed tests) <br />Spill/Overfill Boxes tested annually with Monitoring System Certification. <br />