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SVJRCB, January 2002 <br />9. S , /OVERFILL CONTAWMENT <br />Facility is Not Equipped With Spill/OVW I Containment Boxes ❑ <br />Spill/Overfill Containment Boxes are Present, but were Not Tested ❑ <br />Test Method Developed By: ❑ Spill Bucket Manufacturer ndustry Standard ❑Professional Engineer <br />❑ Other (Spec) <br />Test Method Used: ❑ Pressure ❑ Vacuum ydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: - <7"P �� s nom` y�; y 9 <br />Equipment Resolution: � �` ' <br />22MV .. 8...r <br />i Spill Box # I X111 Spill Box # Spilt Box # Spill Box # <br />Bucket Diameter: <br />Bucket Depth: % / `� <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 />D °7 <br />'11 <br />Test Duration: <br />Change in Reading (RF -R): <br />-~'" <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result- <br />J <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />❑ Pass ❑Fail <br />Commenirs — (include information oia repaifs made prior to testing, and recommended <br />1/1') it rt1 r g PQ, <br />Please direct any comments regarding this form to: <br />SWRCB UST Program, 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 />