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L t4f7 P.O. Box 4208 <br />AlitechPeftww Sonora 4195370 <br />MAY 31 2016 Ca: 62354, A -Flat <br />209-532-7320 <br />Compliance without Compromise r n►.a' ' Ph Fax: 209-533-2650 <br />mail@alltechpetro.com <br />www.ailtechpetro.com <br />Spill Bucket Testing Report Form <br />FACILITY INFORMATION: <br />Facility Name: Hammer 1-5 Arco Date of Testing: Saturday, May 07, 2016 <br />Facility Address: 3201 W. Hammer Lane Stockton CA <br />Facility Contact: Wes Parkinson Phone: (209) 474-9125 <br />Notification Date of Local Agency: 05/19/16 <br />Name of Local Agency Inspector: Stacy Rivera <br />SPILL BUCKET TESTING INFORMATION: <br />Test Method Used: ® Hydrostatic ❑ Vacuum ❑ Other <br />Test Equipment Used: 1 -Hour Observed Test <br />Equipment Resolution: 1/16" <br />wxff-_�M <br />99222200MIdentify <br />Spill Bucket <br />1 87A Syphon <br />2 87B Master <br />3 91 <br />4 <br />Bucket Installation Type: <br />❑ Direct Bury <br />® In Sump <br />❑ Direct Bury <br />® In Sump <br />❑ Direct Bury <br />® In Sump <br />❑ Direct Bury <br />❑ In Sump <br />Wait time between <br />applying vacuum/water <br />and start of test: <br />None <br />None <br />None <br />Test Start Time (T,): <br />9:00 am <br />9:00 am <br />9:00 am <br />Initial Reading (R): <br />1 3/4" above cap <br />2 1/4" above cap <br />11/4" above cap <br />Test End Time (TF): <br />10:00 am <br />10:00 am <br />10:00 am <br />Final Reading (RF): <br />1 3/4" above cap <br />2 1/4" above cap , <br />11/4" above cap <br />Test Duration (TF—T): <br />1.0 Hr <br />1.0 Hr <br />1.0 Hr <br />Change in Reading (RF -R,): <br />0.0 <br />0.0 <br />0.0 <br />Pass/Fail Threshold or <br />Criteria: <br />1/16" <br />1/16" <br />1/16" <br />Test Result: <br />® Pass ElFail ` <br />M Pass ElFail <br />Pass ❑ Pail <br />E]Pass ❑Fail <br />Comments — (include information on repairs made prior to testing, and recommended follow-up for failed <br />tests) <br />