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SWRCB Jan y2002 FINAL DRAFT Page—7 of 7 <br /> — <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 DevelopedBy: ❑ Spill Bucket Manufacturer ❑ Industry Standard ❑Professional Engineer <br /> ❑other(Specify) <br /> Test Method Used: ❑Pressure ❑Vacuum ❑Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: Equipment Resolution: <br /> Spill Box# Spill Boz# Spill Box# SpiIl Box# <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-R): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result OPass ❑Fail ❑Pass ❑Fail DPass []Fail ❑Pass ❑Fail <br /> Comments—(Include information on repairs made prior to testing, and recom nded follow-up f€ar 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 /> S CB UST Prograin,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 />