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SWRCB January 2002 FINAL DRAFF 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 Developed By: ❑ Spill Bucket Manufacturer ❑ Industry Standard ❑Professional Engineer <br /> ❑Other(Specify) <br /> Test Method Used: ®Pressure ❑Vacuum ❑Hydrostatic <br /> ❑other(Spec) <br /> Test Equipment Used: Equipment Resolution: <br /> Spill Boa# Spill Boz# Spill Boz# Spill Boz# <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(R): <br /> Test End Time: <br /> Final Reading(RF): <br /> Test Duration: <br /> Change in Reading(RF-Rq). <br /> Pass/Fail Tbreshold or <br /> Criteria: <br /> Test Result' OPass ElFail OPass []Fail OPass ❑Pail ❑Pass ❑Fail <br /> Comments—(Include information on repairs made prior to testing,, and recommended follaw-up for failed tests.) <br /> Spill/Overfill Containment Boxes are being tested ammally with the Monitor Certification,completed on 8-02-2011. <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Attn: Scott Bacon <br /> 10011-I"Street,Box 944212 <br /> Sacramento,CA 95814 <br /> Phone:(916)341-5873,Fax: (916)341-5808 <br /> e-mail:baconsgcwp.swrcb.ca.gov <br />