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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 ❑ Professional Engineer <br /> Test Type ® Pressure ❑ Vacuum ® Hydrostatic <br /> Tank ID 882-TFUD01 <br /> Spill Container Manufacturer: OPW <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic IM 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 ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail 107 Fail I ❑ 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 /> ® No* ❑ No* ® No* 17No* <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 In Pass ❑ Pass ❑ Pass ❑ Pass <br /> Fail ❑ Fail 197 Fail I ❑ 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 /> 9:25a @ 14.50" to 9:49a @ 14.50" =-0.00 change =<0.10gph = Pass <br /> SJEHD on site <br /> * Mark here if: <br /> ❑ 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 />