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AFFORDA-TE$T 416 2nd Street Galt CA 96632 Spill <br /> (209) 744-0112 (209) 744-0116 FAX Test Report <br /> TEST DATE iYA <br /> SITE NAME �' c._t. `� b/ PHONE ( Z®9 ) 3G <br /> ADDRESS 33 CONTACT: 1&651 <br /> Inspector: 'SA 1,4J®Aou1A (20 —r-1 Present / Not Present —A <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: Hydrostatic ❑Vacuum ❑Other <br /> Test Equipment Used: `[—A1( - U Equipment Resolution: <br /> MER <br /> Identify Spill Bucket(By Tank 1 2 3 4 <br /> Number, Stored Product, etc. q ' <br /> (,Direct Bury lii7,.Direct Bury Direct B <br /> Bucket Installation Type: ury ❑Direct Bury <br /> ❑Contained in Su D Contained in Sum ❑Contained in Su ❑Contained in Su <br /> mp <br /> Bucket Diameter: <br /> Bucket Depth: 1 <br /> Wait time between applying <br /> vacuum/water and start of test: <br /> Test Start Time(TI): 3 rJ 1345 <br /> Initial Reading(Rt) <br /> Test End Time(TF): - <br /> Final Reading(RF) C. <br /> Test Duration(TF-TI): - -- <br /> Change in Reading(RF-R): <br /> Pass/Fail Threshold or _ <br /> Criteria: <br /> a <br /> .Comments-(include informto testing, and recommended ollow-up for failed tests) <br /> Test Water: ®Taken with tester ❑Left on site ° <br /> I hereby certify that all the information contained in this report is true, <br /> accurate, and in full compliance with legal requirements. Technician:., Zane A. Nimmo <br /> ICC#: 5263322-UT <br /> Signature: — OTTL#: 04-1676 <br />