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Underground Storage Tank <br />Shill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Methods Developed by ❑ Manufacturer <br />® Industry Standard <br />❑ Professional Engineer <br />Tank ID <br />87 <br />Spill Container Manufacturer <br />Philtite <br />® Nonmetallic <br />❑ <br />Nonmetallic <br />❑ <br />Nonmetallic <br />❑ <br />Nonmetallic <br />Method of Cathodic Protection <br />❑ Other <br />❑ Other <br />❑ <br />Other <br />❑ <br />Other <br />Is the spill container minimum <br />® Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />capacity five gallons excluding <br />❑ No* <br />❑ <br />No* <br />❑ <br />No* <br />❑ <br />No* <br />riser volume? <br />® Drain <br />❑ <br />Drain <br />❑ <br />Drain <br />❑ <br />Drain <br />Method to keep spill container <br />❑ Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />empty <br />❑ Other <br />❑ <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />® Pass <br />❑ <br />Pass <br />❑ <br />Pass <br />❑ <br />Pass <br />Spill Container Test Results <br />❑ Fail <br />❑ <br />Fail <br />❑ <br />Fail <br />❑ <br />Fail <br />Tank ID <br />Spill Container Manufacturer <br />❑ Nonmetallic <br />❑ <br />Nonmetallic <br />❑ <br />Nonmetallic <br />❑ <br />Nonmetallic <br />Method of Cathodic Protection <br />❑ Other <br />❑ <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />Is the spill container minimum <br />❑ Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />❑ <br />Yes <br />capacity five gallons excluding <br />❑ No* <br />❑ <br />No* <br />❑ <br />No* <br />❑ <br />No* <br />riser volume? <br />E] Drain <br />E] <br />Drain <br />❑ <br />Drain <br />E] <br />Drain <br />Method to keep spill container <br />ElPump <br />❑ <br />Pump <br />ElPump <br />ElPump <br />empty <br />❑ Other <br />❑ <br />Other <br />❑ <br />Other <br />❑ <br />Other <br />❑ Pass <br />❑ <br />Pass <br />❑ <br />Pass <br />❑ <br />Pass <br />Spill Container Test Results <br />❑ Fail <br />❑ <br />Fail <br />❑ <br />Fail <br />❑ <br />Fail <br />7. COMMENTS <br />Describe a# answers marked "Other" "No" or "Fail" and each proposed remedy. <br />Installed new 87 bucket. Tested with inspector, passed. <br />*Mark here if <br />❑ Spill containers do not have minimum capacity of five gallons and require replacement. <br />