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SWRCB. January 2002 FINAL DRAFT <br />9- qPII. l,/OVFRFII.I. CONTAINMENT ROWS <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: <br />[I Spill Bucket Manufacturer <br />El Other (Specify) <br />Ej Industry Standard El Professional Engineer <br />Test Method Used: <br />El Pressure <br />El Other (Specify) <br />El Vacuum Ej Hydrostatic <br />Test Equipment Used: <br />Equipment Resolution: <br />Spill Box # Spill Box # Spill Box # Spill 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 (111): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pa eshold or <br />Criteria: <br />Test Result <br />E]Pass ElFail <br />ElPass <br />ElFail <br />E]Pass []Fail <br />E]Pass Fail <br />Comments — (Include information on repairs made prior to testing, and recommended follow-up for failed tests.) <br />Spill/Overfill Containment Boxes are being tested annually with the Monitor Certifications, and are scheduled for the week of <br />9-20-08. <br />Please direct any comments regarding this form to: <br />SB UST Program, Attn: Scott Bacon <br />1001 "1" Street, Box 944212 <br />Sacramento, CA 95814 <br />Phone: (916) 341-5873, Fax: (916) 341-58808 <br />e-mail: bacons@cwp.swrcb.ca.gov <br />