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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 1. SPILL CONTAINER DETAILS <br /> Test Methods Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer <br /> Tank ID 87_1 87_2 91 <br /> r <br /> ll Container Manufacturer Philtite Philtite Philtite <br /> thod of Cathodic Protection ® Nonmetallic ® Nonmetallic ® Nonmetallic ❑ Nonmetallic❑ Other ❑ Other ❑ Other ❑ Otherhe spill container minimum ® Yesacity five gallons excluding ® Yes ® Yes ❑ Yes <br /> er volume? ❑ No* ❑ No* ❑ No* ❑ No* <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 ® Pass ® Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ 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 ❑ Yes El Yes Y <br /> capacity five gallons excluding E] Yes E] Yes <br /> ❑ <br /> riser volume? No* ❑ No* ElNo* ❑ No* <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 ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 2. COMMENTS <br /> Describe all answers marked "Other", "No', or "Fail"and each proposed remedy. <br /> *Mark here if <br /> ❑ Spill containers do not have minimum capacity of five gallons and require replacement. <br /> Page 8 of 8 <br />