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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 87-1 Fill 87-1 Fill 87-2 Fill 91 Fill <br /> Spill Container Manufacturer: aPw oPw OPw aPw <br /> Method of Cathodic Protection ❑✓ Nonmetallic MNonmetallic ONonmetallic metallic <br /> =Other Other Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes ❑✓ Yes 2]Yes <br /> capacity five gallons excluding ❑No* :]No* [:]No* ❑No* <br /> riser volume? <br /> Method to keep spill container ❑✓ Drain ,/ Drain Drain QDrain <br /> empty ❑Pump Pump [—]Pump ❑Pump <br /> Other Other her =Other <br /> Spill Container Test Results ✓ Pass OPass ✓❑Pass 7,/]Pass <br /> ❑Fail Fail ❑Fail =Fail <br /> Tank ID 87-1 Vapor 87-1 Vapor 87-2 Vapor 91 Vapor <br /> Spill Container Manufacturer: oPw oPw oPw oPw <br /> Method of Cathodic Protection ❑✓ Nonmetallic QNonmetallic ✓ Nonmetallic metallic <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 LJ Drain rain <br /> empty [Z]Pump ✓ Pump ❑✓ Pump IZIPump <br /> Other LjOther ❑Other Ej2ther <br /> Spill Container Test Results ✓❑Pass ,/ ass y/ Pass Pass <br /> =Fail Rail Fail E37ail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or"Fail"and each proposed remedy. <br /> * Mark here if: <br /> Spill containers do not have a minimum capacity of five allons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />