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• T <br /> SWRCB,January 2002 FINAL DRAFT Page 7 of 7 <br /> 9. SPILL/OVERFILL CONTAINMENT BOXES <br /> Facility is Not Equipped With Spill/Overfill Containment Box(es) ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑ Spill Bucket ufa r Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Spill Box# Spill Boz# Spill Box# Spill Bog# <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-RI): <br /> Pass/Fail Tbreshold or <br /> Crit <br /> Test Result OPass ElFail OPass ❑Fail ❑ s []Fail ❑Pass ❑Fail <br /> Comments—(Include information on repairs made prior to testing, and recommended fotlow-up far failed tests.) <br /> Spill/Overfill Containment Boxes are being tested annually with the Monitor Certifications,and were tested on 8-02-2011. <br /> Please direct any comments 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.swrcb.ca.gov <br />