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SWRCB,January 2002 <br /> 9. SAWOVERFILt CONT'Allvly ENT BO <br /> Facility is Not Equipped With SpilUOvemll Containment Boxes ❑ <br /> Spill/Overfill Containment Boxes are Present,but were Not Tested ❑ <br /> Test Method Developed By: ❑Spill Bucket Manufacturer Industry Standard ❑Professional Engineer <br /> ❑Other(Spec) <br /> Test Method Used: ❑Pressure ❑Vacuum Hydrostatic <br /> ❑Other(Specify) <br /> Test Equipment Used: �i&,P k z Equipment Resolution:. ` t v " <br /> I0 7 Spill Box# , dl( Spill Box# 7i ,911 Spill Box# Spill Box# <br /> "Bucketameter: <br /> Biicket pth: t {® l l <br /> / °Z_ /z <br /> Wait time between applying / <br /> pressure/vacuum/water and <br /> starting test: <br /> Test Start Time: - v �✓� <br /> Initial Reading(Rj): <br /> Test End Time: U �� <br /> Final Reading(RF): <br /> y� a <br /> Test Duration: ( 1 <br /> Change in Reading(RF-R,): rAf <br /> Pass/Fail Threshold or <br /> Criteria: <br /> Test Result: ss ❑Fail Pass ❑Fail ass ❑Fail ❑ Pass ❑Fail <br /> Commenis —(include information on repait-s made prior to testing, and recommended follow-up for failed tests) <br /> Please direct any comments regarding this form to: <br /> SWRCB UST Program,Attn: Scott Bacon <br /> 1001"I" 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 />