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Underground Storage Tank <br /> Spill Container Testing Report Farm <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer Z Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Tank ID T4 REG. T5 PREM. <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 fine gallons excluding ❑ Na" ❑ No" ❑ No" ❑ No" <br /> riser volume? <br /> ® Drain ✓❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spilt Container Test Results 0 Pass Z 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 ❑ No" ❑ No" ❑ No" ❑ No" <br /> riser volume? <br /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container J pump J Pump ❑ Pump LJ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> ❑ Pass El Pass El Pass 11Pass <br /> Spill Container Test Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers market! "Other.—No,""No,"or"Fail'and each proposed remedy. <br /> Mark here if: <br /> [:1 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 />