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416 2nd Street Gait CA 95632 Spill Bucket <br />AFFORDA-TE$T (209) 744-0112 (209) 744-0116 FAX <br />Test Report <br />TEST DATE <br />SITE NAME Olellj PHONE( <br />ADDRESS e" CONTACT: <br />-s7-71oc- <br />Inspector: C�P' rrL'A—rPre�se t Not Present <br />3. SPILL BUCKET TESTING INFORMATION <br />Test Method Used: )ZHydrostatic 0 Vacuum 0 Other <br />Test Equipment Used: <br />ment Resolution: <br />Identify Spill Bucket (By Tank 1 <br />Number, Stored Pro <br />2 <br />9 / <br />3 , — <br />,ae <br />4 <br />Bucket Installation Type: M Direct Bury <br />0 Contained in Sump <br />13 Direct Bury <br />0 Contained in Sump <br />2 Direct Bury <br />0 Contained in Sump <br />11 Direct Bury <br />0 Contained in Sump <br />Bucket Diameter: <br />Bucket Depth: i r <br />-Wait <br />Z— <br />3 <br />time between applying <br />wcuuirdwater and start of test: <br />Test Start Time (TO: 10ou <br />L) 6 0 <br />Initial Reading (RI): <br />Test End Time (TF): //U� <br />A <br />Final Reading (RF): <br />Test Duration (TF — Ti): <br />Change in Reading (RF - RI) <br />er <br />Pass/Fail Threshold or <br />Criteria: <br />Comments —(include information on repairs made prior, to testing, and recommended follow-up for failed tests). <br />Test Water: aken with tester F-] Lefton sita <br />I hereby certify that all the information contained in this report is true, <br />accurate, and in full compliance with legal requirements. Technician-_ <br />ICC <br />Signature: OTTIL <br />