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Underground Storage Tank Permit # SR0083831 <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by El Manufacturer ® Industry Standard ® Professional Engineer <br /> Test Type ® Pressure ® Vacuum ® Hydrostatic <br /> Tank ID Diesel <br /> Spill Container Manufacturer: Xerxes corp. <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ® Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ® Other ® Other <br /> Is the spill container minimum <br /> ® Yes ® Yes ® Yes ® Yes <br /> capacity five gallons excluding ® No* ® No* rl 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 IM Other ❑ Other <br /> Is the spill container minimum ® Yes ® Yes ® Yes ® Yes <br /> capacity five gallons excluding ® No* ® No* IM 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 E! Pass ❑ Pass ❑ Pass rl Pass <br /> ® Fail ® Fail ® Fail ® Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No," or"Fail" and each proposed remedy. <br /> * Mark here if: <br /> ® S ill 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 />