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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum 0 Hydrostatic <br /> Tank ID T1 -waste oil rack T2-waste oil gate T3-anti-freeze T4-gear oil <br /> Spill Container Manufacturer: EBw EBw EBw oPw <br /> Method of Cathodic Protection 0 Nonmetallic 0 Nonmetallic 0 Nonmetallic 0 Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum 0 Yes 0 Yes Yes El Yes <br /> capacity five gallons excluding El El El ElNo* <br /> riser volume? <br /> El Drain El Drain El Drain El Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results 121 Pass Z Pass Z Pass Z Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID T5-motor oil T6-waste oil tank <br /> Spill Container Manufacturer: EBw CNI <br /> Method of Cathodic Protection 0 Nonmetallic 0 Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum 0 Yes 0 Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding El No* El No* El No* El No* <br /> riser volume? <br /> 0 Drain Z Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results El Pass El Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ 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 />