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SWRCB, January 2002 Page of <br />9. SP /®VERFILL C®le1TA N'T BOX* I <br />Facility is Not Equipped With Spill/Overfill Containment Boxes ❑ <br />Spill/Overfill Containment Boxes <br />are Present, but were Not Tested ❑ <br />Test Method Developed By: <br />❑ Spill Bucket Manufacturer <br />n ustry Standard ❑ Professional Engineer <br />❑ Other (Specify) <br />Test Method Used: <br />❑ Pressure <br />❑ Vacuum yrostatic <br />❑ Other (Spec) <br />Equipment Resolution: <br />Test Equipment Used: <br />i_f64 t 'Y ?; ?ri+C'i4.W,�}M "'- ked,, �' �M 9F' N' �:T`i 11 ;Mb51#�1..:.:7�' U X�:kPAS'l�i)�n 5h�'i f"�.r1Ti t .1ldP.S�1 �{iiAri, k. t4 <br />Spill Box # Spill Box # <br />Spill Box # % Spill Box <br /># <br />Bucket Diameter: <br />Bucket Depth: <br />Wait time between applying <br />pressure/vacuum/water and <br />starting test:" <br />Test Start Time: <br />Initial Reading (RI): <br />Test End Time: <br />r .fir' epr- <br />Final Reding (RF):' <br />Test Duration: <br />Change in Reading (RF -RI): <br />Pass/Fail Threshold or <br />l 1 <br />Criteria: <br />Test Result:? <br />Pass ❑ Fail ❑ Pass <br />❑ Fail ❑ Pass ❑ Fail <br />❑ Pass ❑ Fail <br />r V <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 />