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AFFORDA-TE$T 416 2nd Street Galt CA 95632Spill <br /> (209) 744-0112 (209) 744-0116 FAX Test Report <br /> TEST DATE <br /> SITE NAME Al PHONE ( p ) c f <br /> ADDRESS * CONTACT• <br /> JT0 C&120 eA SZ6 <br /> Inspector: JOA_ Present / _Not e <br /> 3. SPILL BUCKET TESTING INFORMATION <br /> Test Method Used: RHydrostatic ❑Vacuum ❑Other <br /> Test Equipment.Used: pU Equipment Resolution: r <br /> t <br /> Identify Spill Bucket(By Tank 1 2 <br /> Number, Stored Product, etc. r �, Tt 3 -r-z 4 <br /> ❑Direct B <br /> Bucket Installation Type: mY ❑Direct Bury ❑Direct Bury ❑Direct Bury <br /> f�Contained in S ®Contained in Sum R Contained in Su ❑Contained in Su <br /> MP <br /> Bucket Diameter: 17— 1 Z ' Z <br /> Bucket Depth: , /,,t 14 <br /> Wait time between applying <br /> vacuum/water and start of test: -�--- -�- <br /> Test Start Time(Tj): p O 0® <br /> Initial Reading(Rj): Z _ <br /> � — 117— <br /> Test End Time(TF): v®® 19900 O D 0 <br /> Final Reading(RF): — 2 I7i- <br /> Test Duration(TF—TI): 2 <br /> Change in Reading(RF-RI): <br /> Pass/Fail Threshold or <br /> Criteria: <br /> t <br /> Comments-(include information on repairs made prior to testing and recommended follow-up for failed tests) <br /> Test Water: Taken with tester [:]Lefton sit4 <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: - v- . OTTL#: 04-1676 <br />