Laserfiche WebLink
Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer M Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum M Hydrostatic <br /> Tank ID T-1 87 T-2 Diesel <br /> Spill Container Manufacturer: OPW OPW <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum <br /> capacity five gallons excluding ® Yes❑ No* ® Yes El No* ❑ Yes El No* ❑ Yes❑ No* <br /> riser volume? <br /> Method to keep spill container ® Drain ® Drain ❑ Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ® Pass❑ Fail ® Pass❑ Fail ❑ Pass❑ Fail ❑ Pass❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum <br /> capacity five gallons excluding ❑ Yes El No* ❑ Yes El No* ❑ Yes El No* ❑ Yes❑ No* <br /> riser volume? <br /> ❑ Drain EJ Drain El ❑ Drain <br /> Method to keep spill container El ElPump ElPump ElPump <br /> empty <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass❑ Fail ❑ Pass❑ Fail ❑ Pass❑ Fail ❑ Pass❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail'and each proposed remedy. <br /> * Mark here if: <br /> ❑ Spill 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 />