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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 M Pressure rl Vacuum © Hydrostatic <br /> Tank ID 87 91 <br /> Spill Container Manufacturer : OPW OPW <br /> Method of Cathodic Protection © Nonmetallic M Nonmetallic r] Nonmetallic © Nonmetallic <br /> © Other © Other El Other © Other <br /> Is the spill container minimum © Yes M Yes rl Yes © Yes <br /> capacity five gallons excluding [0 No * © No @ No * 0 No * <br /> riser volume ? <br /> Method to keep spill container © Drain [71 Drain r] Drain 0 Drain <br /> empty © Pump F1 Pump 0 Pump 0 Pump <br /> © Other fM Other M Other r] Other <br /> Spill Container Test Results Pass M Pass lM Pass © Pass <br /> [r1 Fail Ir Fail r] Fail © Fail <br /> Tank ID <br /> Spill Container Manufacturer : <br /> Method of Cathodic Protection Nonmetallic © Nonmetallic 0 Nonmetallic EM Nonmetallic <br /> El Other © Other r] Other r] Other <br /> Is the spill container minimum © Yes El Yes rl Yes 0 Yes <br /> capacity five gallons excludingrl No * [rl No * Q No * rl No * <br /> riser volume ? <br /> Method to keep spill container F1 Drain rl Drain © Drain ICS Drain <br /> empty © Pump r! Pump Il Pump M Pump <br /> [F1 Other r] Other © Other r] Other <br /> Spill Container Test Results Ll Pass © Pass © Pass © Pass <br /> Fail © Fail rl Fail rl Fail <br /> 8 . COMMENTS <br /> Describe all answers marked "Other, " "No, " or "Fail" and each proposed remedy. <br /> Replaced the 91 swivel adaptor due to old swivel having damage to mating surface . <br /> * Mark here if: <br /> Vj 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 />