Laserfiche WebLink
Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Methods Developed by ❑ Manufacturer ® Industry Standard n Professional EnninPPr <br />Tank ID <br />87A <br />Spill Container Manufacturer <br />OPW <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 />capacity five gallons excluding <br />® Yes <br />❑ Yes <br />❑ Yes <br />E:] Yes <br />riser volume? <br />E] No* <br />❑ No* <br />E] No* <br />E] No* <br />Method to keep spill container <br />® Drain <br />❑ Drain <br />❑ Drain <br />❑ Drain <br />empty <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />❑ Pump <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 />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 />capacity five gallons excluding <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />E] Yes <br />riser volume? <br />E] No* <br />❑ No* <br />El No* <br />E] No* <br />Method to keep spill container <br />❑ Drain <br />❑ Drain <br />❑ Drain <br />❑ Drain <br />empty <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Spill Container Test Results <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Fail <br />E] Fail <br />❑Fail <br />❑Fail <br />7. COMMENTS <br />Describe all answers marked "Other', Wo', or `Fail" and each proposed remedy. <br />Replaced bucket that was damaged during the overfill prevention inspection on 7/6/2021. <br />*Mark here if <br />❑ Spill containers do not have minimum capacity of five gallons and require replacement. <br />Additional copies of this page play be attached. <br />