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Underground Storage Tank <br />Spill Gontainer Testing Report Form <br />Test Method Developed by n Manufacturer n lndustry Standard n Professional Engineer <br />Test Type n Pressure n Vacuum X Hydrostatic <br />Tank lD 87 91 DIESEL <br />Spill Container Manufacturer:OPW OPW OPW <br />Method of Cathodic Protection X Nonmetallic <br />n Other <br />X Nonmetallic <br />n Other <br />X Nonmetallic <br />tr Other <br />tr Nonmetallic <br />tr Other <br />ls the spill container minimum <br />capacity five gallons excluding <br />riser volume? <br />X Yes <br />I No* <br />X Yes <br />n No* <br />n Yes <br />X No* <br />tr Yes <br />n No* <br />Method to keep spill container <br />empty <br />X Drain <br />n Pump <br />D Other <br />X Drain <br />tr Pump <br />n Other <br />X Drain <br />n Pump <br />tr Other <br />n Drain <br />n Pump <br />n Other <br />Spill Container Test Results X Pass <br />tr Fail <br />X Pass <br />n Fail <br />E Pass <br />X Fail <br />n Pass <br />n Fail <br />Tank lD <br />Spill Container Manufacturer: <br />Method of Cathodic Protection n Nonmetallic <br />n Other <br />n Nonmetallic <br />n Other <br />fl 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 />tr Yes <br />n No* <br />n Yes <br />n No* <br />n Yes <br />n No* <br />Method to keep spill container <br />empty <br />fl Drain <br />n Pump <br />tr Other <br />n Drain <br />n Pump <br />n Other <br />! Drain <br />n Pump <br />tr Other <br />n Drain <br />! Pump <br />n Other <br />Spill Container Test Results fl Pass <br />n Fail <br />n Pass <br />n Fail <br />! Pass <br />n Fail <br />! Pass <br />! Fail <br />Describe all answers marked "Other," "No," or "Fail" and each proposed remedy. <br />Re-tested 87-91with new dust caps, passed. <br />Diesel nipple and drain valve removed, re-installed with new <br />pipe dope and grease, still failed. <br />* Mark here if: <br />tr 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