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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by p Manufacturer ® Industry Standard Q Professional Engineer <br /> Test Type p Pressure Q Vacuum p Hydrostatic <br /> Tank ID 87 Fill 91 Fill Diesel Fill <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection © Nonmetallic 0 Nonmetallic ® Nonmetallic Nonmetallic <br /> ® Other C0 Other Q Other Q Other <br /> Is the spill container minimum <br /> capacity five gallons excluding ® Yes © Yes ® Yes Q Yes <br /> riser volume? ® No* Q No* ❑ No* ❑ No* <br /> Method to keep spill container Q Drain ❑ Drain Q Drain ❑ Drain <br /> empty © Pump p Pump ® Pump ❑ Pump <br /> Q Other ❑ Other Q Other ❑ Other <br /> Spill Container Test Results Pass ® Pass ❑ Pass ❑ Pass <br /> Q Fail Q Fail ❑ Fail ❑ Fail <br /> Tank ID 87 Vapor 91 Vapor Diesel Vapor <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ® Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other p Other m Other <br /> Is the spill container minimum <br /> capacity five gallons excluding m Yes ® Yes ® Yes Yes <br /> riser volume? ® No* p No* Q No* ❑ No* <br /> Method to keep spill container ® Drain Q Drain Q Drain ® Drain <br /> empty © Pump ® Pump 971 Pump ❑ Pump <br /> ❑ Other Q Other p Other ❑ Other <br /> Spill Container Test Results ® Pass 9l Pass ® Pass ❑ Pass <br /> Q Fail I Q Fail p Fail ❑ Fail <br /> 6. COMMENTS <br /> Describe all answers marked "Other," "No,"or"Fail"and each proposed remedy. <br /> * Mark here if- <br /> r] S <br /> f:® S ill containers do not have a minimum capacity of five gallons and require replacement. <br /> Additional copies of this page may be attached_ <br /> Page 2 of 2 <br />