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Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by ❑ Manufacturer ❑✓ Industry Standard ❑ Professional Engineer <br />Test Type ❑ Pressure ❑ Vacuum✓❑ Hydrostatic <br />Tank ID <br />REGULAR <br />REGULAR AUX <br />PREMIUM <br />DIESEL <br />Spill Container Manufacturer: <br />PHILTITE <br />PHILTITE <br />PHILTITE <br />PHILTITE <br />Method of Cathodic Protection <br />❑✓ Nonmetallic <br />❑✓ Nonmetallic <br />❑✓ Nonmetallic <br />❑✓ Nonmetallic <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Is the spill container minimum <br />❑ Yes <br />❑ Yes <br />❑✓ Yes <br />❑ Yes <br />capacity five gallons excluding <br />✓❑ No* <br />❑✓ No* <br />❑ No* <br />❑✓ No* <br />riser volume? <br />❑✓ Drain <br />❑✓ Drain <br />❑✓ Drain <br />❑✓ Drain <br />Method to keep spill container <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />empty <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Spill Container Test Results <br />❑✓ Pass <br />❑✓ Pass <br />✓❑ Pass <br />❑✓ Pass <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />Tank ID <br />Spill Container Manufacturer: <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Nonmetallic <br />Method of Cathodic Protection <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Is the spill container minimum <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />capacity five gallons excluding <br />❑ No*No* <br />❑ <br />❑ No* <br />❑ No* <br />riser volume? <br />❑ Drain <br />El Drain <br />E] Drain <br />❑ Drain <br />Method to keep spill container <br />El <br />ElPump <br />ElPump <br />ElPump <br />empty <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />Spill Container Test Results <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />8. COMMENTS <br />Describe all answers marked "Other," "No,"or "Fail" and each proposed remedy. <br />ALL BUCKETS PASS 1 HOUR LAKE TEST. <br />REGULAR, REGULAR - AUX AND DSL DO NOT HOLD 5 GALLLONS. <br />* Mark here if - <br />F71 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 />