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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6 , SPILL CONTAINER DETAILS <br /> Test Method Developed by El Manufacturer © Industry Standard © Professional Engineer <br /> Test Type M Pressure © Vacuum © Hydrostatic <br /> Tank ID Gasoline - 91 <br /> Spill Container Manufacturer : OPW <br /> Method of Cathodic Protection © Nonmetallic [ Nonmetallic Rj Nonmetallic rl Nonmetallic <br /> © Other Rj Other rj Other FEI Other <br /> Is the spill container minimum © Yes © Yes © Yes rl Yes <br /> capacity five gallons excluding No * 97 No * rNo * © No * <br /> riser volume ? <br /> Method to keep spill container © Drain © Drain © Drain © Drain <br /> empty rj Pump rl Pump [Cl Pump [r-I Pump <br /> F0 Other rl Other n Other © Other <br /> Spill Container Test Results [0 Pass r[1 Pass lM Pass El Pass <br /> LM Fail r! Fail rl Fail © Fail <br /> Tank ID <br /> Spill Container Manufacturer : <br /> Method of Cathodic Protection [M Nonmetallic [r] Nonmetallic 0 Nonmetallic [Cl Nonmetallic <br /> © Other r] Other r] Other © Other <br /> Is the spill container minimum 0 Yes M Yes 0 Yes r] Yes <br /> capacity five gallons excluding 0 No * Ll No * M No * © No <br /> riser volume ? <br /> Method to keep spill container 0 Drain © Drain © Drain ICS Drain <br /> empty 0 Pump LF7 Pump II Pump rl Pump <br /> 0 Other © Other 0 Other 0 Other <br /> Spill Container Test Results Ll Pass rl Pass 91 Pass [r] Pass <br /> Q Fail 0 Fail 0 Fail r] Fail <br /> 8 . COMMENTS <br /> Describe all answers marked "Other, " "No, " or "Fail" and each proposed remedy. <br /> * Mark here if: <br /> © S ill 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 />