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09/22/05 11:05 FAX 925 422 2748 EPD / WGMG Q008 <br /> SWkCB,January 2002 FINAL DRAFT Page-7 of 7 <br /> 8, SP]ILL/OVERFILL-CONT NT BOXES <br /> Facility is Not Equipped With SPHI/OvmM Containment Box(es) [:] <br /> Spill/Overfill Containment Boxes are Present,but were Not TestedE] <br /> Test Method Developed By. 0 Spill Bucket Manufacturer 0 Industry Standard --�Profe�ssional Engineer <br /> F1 Other(Specify) <br /> Test Method Used: El Pressure 0 Vacuum ❑Hydrostatic <br /> F-1 Other(Specify) <br /> Test Equipment Used; Equipment Resolution: <br /> Spill Bog Spill Box# Spill Box# Spill Box# <br /> Bucket Diameter: <br /> Bucket Depth: <br /> Wait time between applying <br /> pressuelvacuum/water and <br /> starting test: <br /> Test Start Time: <br /> Initial Reading W: <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(Pp-Pm): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> On -ffl-?a—U —ffp-a a a—, —E I <br /> lke-- 'in .� <br /> Tear Ej 9- ElVill El? <br /> Comments—(Include information on repairs made prior to testing, and recommendedfollow-upforfailed tests.) <br /> Spill/Overfill Containment Boxes are being tested annually with the Monitor Certifications,and are scheduled for the week of <br /> 9-20-2005. <br /> Please direct any comments regarding this form to: <br /> SViRCB UST Program,Attn:Scott Bacon <br /> 1001-r'Street,Box 944212 <br /> Sacramento,CA 95814 <br /> Phone:(916)341-5873,Fax:(916)341-5908 <br /> e-mail:bacons@cwp.swrcb.ca.gov <br />