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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 M Professional Engineer <br /> Test Type M Pressure M Vacuum M Hydrostatic <br /> Tank ID 87 89 91 <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection © Nonmetallic L Nonmetallic M Nonmetallic M Nonmetallic <br /> M Other M Other M Other ® Other <br /> Is the spill container minimum ® Yes ® Yes M Yes M Yes <br /> capacity five gallons excluding ® No* M No* 0 No* M No* <br /> riser volume? <br /> Method to keep spill container M Drain ® Drain ® Drain ® Drain <br /> empty ® Pump © Pump © Pump ! Pump <br /> [F] Other 0 Other 0 Other ® Other <br /> Spill Container Test Results V Pass C Pass M Pass M Pass <br /> M Fail I M Fail I M Fail 117 Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection M Nonmetallic M Nonmetallic ® Nonmetallic 0 Nonmetallic <br /> © Other M Other M Other 0 Other <br /> Is the spill container minimum M Yes M Yes M Yes M Yes <br /> capacity five gallons excluding © No* Ir No* M No* 0 No* <br /> riser volume? <br /> Method to keep spill container M Drain ® Drain ® DrainIl Drain <br /> empty M Pump M Pump M Pump 0 Pump <br /> ® Other ® Other ® Other ® Other <br /> Spill Container Test Results M Pass ® Pass 1M Pass ® Pass <br /> 0 Fail © Fail 0 Fail M Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail'and each proposed remedy. <br /> Replaced the 89 OPW spill container due to old bucket ripping trying to remove it to check <br /> overfill device, also replaced the jack screw set and swivel adapter on the 87 spill container <br /> due to jack screws being bent and swivel leaking during lake testing. <br /> * Mark here if: <br /> M Spill containers do not have a minimum ca a ity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2of2 <br />