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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by 07 Manufacturer ® Industry Standard ® Professional Engineer <br /> Test Type ® Pressure ® Vacuum ® Hydrostatic <br /> Tank ID 879-TFUG01 879-TFUD01 <br /> Spill Container Manufacturer: OPW OPW <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ❑ Nonmetallic ® Nonmetallic <br /> ® Other ® Other ❑ Other ❑ Other <br /> Is the spill container minimum ® Yes ❑ Yes ® Yes ❑ Yes <br /> capacity five gallons excluding ® No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ® Drain ® Drain ® Drain ❑ Drain <br /> empty ® Pump ® Pump ❑ Pump ❑ Pump <br /> ® Other ❑ Other ® Other ❑ Other <br /> Spill Container Test Results 0 Pass ® Pass ❑ Pass ❑ Pass <br /> ❑ Fail ® Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ® Nonmetallic ❑ Nonmetallic <br /> ❑ Other ® Other ® Other ® Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ® Yes ❑ Yes <br /> capacity five gallons excluding <br /> riser volume? ® No* ® No* ® No* ® No* <br /> Method to keep spill container ® Drain ❑ Drain ® Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump F1 Pump Q Pump <br /> ❑ Other ® Other ® Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> Q Fail Q Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <br /> Using the Caldwell Sump Level Change Indicator from: <br /> TFUG01: 10:14a @ 12.25" to 10:49a @ 12.25" =-0.00 change=<0.10gph = Pass <br /> TFUD01: 11:20a @ 12.50" to 11:43a @ 12.50" =-0.00 change =<0.10gph = Pass <br /> SJEHD on site <br /> * Mark here if- <br /> -El 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 />