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Underground Storage Tank Spill Container Testing Report Form 6. SPILL CONTAINER DETAILS Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer Test Type ❑ Pressure ❑ Vacuum 0 Hydrostatic Tank ID 87 872 91 DIESEL Spill Container Manufacturer: OPW OPW OPW OPW 0 Nonmetallic 0 Nonmetallic 0 Nonmetallic 0 Nonmetallic Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum 0 Yes 0 Yes R Yes A Yes capacity five gallons excluding riser volume? ❑ No* ❑ No* ❑ No* ❑ No* D Drain D Drain R Drain A Drain Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other ❑ Other 0 Pass 0 Pass R Pass 0 Pass Spill Container Test Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail Tank ID Spill Container Manufacturer: ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes capacity five gallons excluding riser volume? ❑ No* ❑ No* ❑ No* ❑ No* ❑ Drain ❑ Drain ❑ Drain ❑ Drain Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other ❑ Other ❑ Pass ❑ Pass ❑ Pass ❑ Pass Spill Container Test Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail 8. COMMENTS Describe all answers marked "Other," "No,"or "Fail" and each proposed remedy. * Mark here if: ❑ Spill containers do not have a minimum capacity of five gallons and require replacement. Additional copies of this page may be attached. Page 2 of 2