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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> fi. SPILL CONTAINER DETAILS <br /> Test Method Developed by ® Manufacturer El Industry Standard E) Professional Engineer <br /> Test Type L Pressure LA vacuum 0 Hydrostatic <br /> Tank ID T2 REG. T1 SUPER T3 DSL <br /> Spill Container Manufacturer: OPw OPw oPw <br /> Method of Cathodic Protection ® Nonmetaflic ® Nonmetallic ® Nonmetallic LJ Nonmetallic <br /> 2 Other 2 Other 2 Other L) Other <br /> Is the spill container minimum ® Yes ® Yes ® Yes J Yes <br /> capacity five gallons excluding Ll No" Ll No" U No* J No* <br /> riser volume? <br /> ® Drain ® Drain ® Drain D Drain <br /> Method to keep spill container Ll pump Ll Pump LJ Pump D Pump <br /> empty El Other E) Other LJ Other 2 Other <br /> Spill Container Test Results ® Pass ® Pass ® Pass D Pass <br /> I El Fail L) Fail EJ Fall LJ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection Ll Nonmetallic L) Nonmetallic Ll Nonmetallic J Nonmetallic <br /> El Other Ll Other Il Other Ll Other <br /> Is the spill container minimum Ll Yes Ll Yes Il Yes Ll Yes <br /> capacity five gallons excluding Ll No* L) No* Ll No* Ll No* <br /> riser volume? <br /> Ll Drain IL) Drain El Drain 13 Drain <br /> Method to keep spill container El Pump D Pump El Pump L1 Pump <br /> empty El Other El Other EJ Other J Other <br /> Spill Container Test Results El Pass El Pass El Pass D Pass <br /> I Ll Fail Ll Fail Ll Fail Lf Fall <br /> 8. COMMENTS <br /> Describe all answers marked "Other, "No,"or"Fail"and each proposed remedy. <br /> * Mark here if: <br /> Ll 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 />