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SWRCB, January 2002 <br />9. SOL/OVERFILL CONTAINMENT BO <br />Page Z of `�— <br />Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br />Spill/Overfill Containment Boxes are Present, but were Not Tested ❑ <br />Test Method Developed By: ❑ Spill Bucket Manufacturer 11Pndustry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: ❑ Pressure ❑ Vacuum KHydrostatic <br />❑ Other (Spec) <br />Test Equipment Used: "�'pF %CA A) OVT1 '�. Equipment Resolution: 1A " <br />�q <br />Spill Box #,Q"L <br />Spill Box #Dis Spill Box # <br />Bucket Diameter: <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test: <br />a M 114. <br />M , <br />AA (" E <br />Test Start Time: <br />o <br />p CT ®C) <br />Initial Reading (Rj): <br />Test End Time: <br />t) t -I <br />p "—Gj <br />p v <br />Final Reading( RF) <br />_. 3( /` <br />5t4 -g <br />Test Duration: <br />1 A C_. <br />Change in Reading (RF-Ri): <br />Pass/Fail Threshold or <br />Criteria: <br />Test Result: <br />❑ Pass <br />ass ❑ Fail <br />ass ❑ Fail ❑ Pass 0 21 <br />Commenis — (Include information on repaifs 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 "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 />