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Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by I Manufacturer E Industry Standard f frotessionat fnglneer-=---lest lype tl Pressure n Vacuum x Hydrostatic- <br />Tank lD 87 91 DIESEL <br />Spill Container Manufactu rer:OPW OPW OPW <br />Method of Cathodic Protection X Nonmetallic <br />n Other <br />x <br />n <br />Nonmetallic <br />Other <br />X Nonmetallic <br />n Other <br />n Nonmetallic <br />n Other <br />ls the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br />X Yes <br />n No* <br />X Yes <br />I No* <br />X Yes <br />n No* <br />n Yes <br />n No* <br />Method to keep spill container <br />empty <br />X Drain <br />n Pump <br />n Other <br />X Drain <br />tr Pump <br />D Other <br />X Drain <br />n Pump <br />tr Other <br />! Drain <br />n Pump <br />I Other <br />Spill Container Test Results X Pass <br />tr Fail <br />X Pass <br />tr Fail <br />n Pass <br />X Fail <br />n Pass <br />tr Fail <br />Tank lD <br />Spill Container Manufacturer: <br />Method of Cathodic Protection n Nonmetallic <br />I Other <br />I Nonmetallic <br />I Other <br />f, Nonmetallic <br />n Other <br />n Nonmetallic <br />n Other <br />ls the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br />n Yes <br />n No* <br />n Yes <br />n No* <br />tr Yes <br />n No* <br />n Yes <br />n No* <br />Method to keep spill container <br />empty <br />n Drain <br />[I Pump <br />[] Other <br />n Drain <br />n Pump <br />n Other <br />! Drain <br />n Pump <br />tr Other <br />n Drain <br />n Pump <br />n Other <br />Spill Container Test Results n Pass <br />n Fail <br />n Pass <br />n Fail <br />n Pass <br />I Fail <br />n Pass <br />n Fail <br />8. COMMENTS <br />I Describe all answers marked "Other," "No," or "Fail" and each proposed remedy. <br />I Re-tested 87-91 with new dust caps, passed. <br />I Diesel nipple and drain valve removed, re-installed with new <br />I nipe dope and grease, still failed. <br />I <br />* Mark here if: <br />LLlprtt containers O ons and require replacement. <br />Additional copies of this page may be attached <br />Page 2 of 2