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S W RCB, January 2002 <br />9_ CPTT.T lnVTi 129 TT r rnw r •! t%r%xviu r nr%%,r a <br />Page 13 of 8 <br />Facility is Not Equipped With Spill/Overfill <br />Containment Boxes c <br />a. v <br />j <br />Spill/Overfill Containment Boxes are Present, but were Not Teste <br />est Method Developed By: <br />Spill Bucket Manufacturer <br />Other (Spec) <br />Industry Standard Professional Engineer <br />Test Metho d: <br />C Pressure <br />�� Other ( S eci <br />p iY) <br />Vacuum Hydrostatic - <br />Test Equipment Used: <br />Equipment eso`lution: <br />Spill Boal•#., Spill Box # - `j Spill Box # Spill Boz # <br />Bucket Diameter: <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />=' <br />✓r <br />Test Start Time: <br />Initial Reading (111): <br />Test End Time: <br />Final Reading (RF): <br />Test Duration: <br />Change in Readi RF -R,): <br />Pass/Fail T�J:eold or <br />Criteria: <br />Test Result: <br />❑ Pass n Fail ❑ Pass <br />D Fail ❑ ' Pass ❑ Fail ❑ Pass ❑ Fail <br />Com nts — (i Jude information on repairs madeprior to testing, and recommendedfollow-up or alled tests) <br />S t V� / ' ( d . S�� f' a �r ta. u a lvi Gt r�✓"%Yt. ci �� S <br />