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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> a MLL CONTAINER oeTaFLS <br /> Test Melhad Developed by ❑. Manufacturer IM Industry Standard ❑ Professional"neer <br /> Test Type ❑ PFessire ❑ VaCUurtl E HydroSlalC <br /> TanK ID T1 w.c■Mur ra-k 12 W.oa Mear pale TSAmf-r ew Tifie.r Ort <br /> Sell COMaleer Wf Madlxer Few cM1 few Enw <br /> A�£tt10d Ol Ci34h041L PrOle{tIDrS M NwmeWlic ❑NonmetallC IN Nonmetallic M Nownetalhlc <br /> ❑other 0 Omer ❑Other ❑Dane <br /> .... .. - — _—� <br /> Is the spill canlainer rninumen ®Yes ®yes 12 Yes ©Yes <br /> capacity five gallons excluding L3Nv' 13 No, ❑Np" Ll No' <br /> riser volume? <br /> O Drain Q Drain 10 Drain Q Drain <br /> empty Method En keep spill corslainer 1❑pwrip G Pump ❑Pump ❑Pwnp <br /> ❑011ier ❑Other ❑Other ❑Other <br /> $pill ContaJri rTest Restft (9 Pass G Pass M Pass ❑Pass <br /> C)Fal q Fall ❑Fall O Fall <br /> Tank JD 76 Momr Dd TO W.Od Tank Fuld 71 6-p U.k <br /> Spill Contadner ManwaCluw.. few oM >:ew <br /> Method Of CalhWir ProEWICIC M Nonmetallic ❑Nonmelalbo M Nonmetallic ❑Nonmetallic <br /> ❑Other Fal Omer ❑Older ❑Other <br /> Is the spill conlainer minimum p Yes g yes p Yes [3 Yes <br /> capaaly T1Ye gallons excluding 13r]M, 1171 ❑No, <br /> user volume <br /> Memod b steep Spill conlainer ❑Dr3hl ❑Oradell ❑Dram ❑Drain <br /> ❑Pump q NMP G PWp ❑PMV <br /> ❑Other ❑Omer ❑Other [3 cow <br /> Spill Container Test Results m PassD Pass 17 Pass ❑Pass <br /> 13 Fail ❑Fall ❑Fall ❑Fail <br /> a. COM NTS <br /> Descnbe aR answers rri<nrked`O wi,"M,"or fFaV and each proposed remedy- <br /> OPw,CMI ee Eeri p-6ish no"In3erv:er'inlroAy Int pwo.dunn fee Vrek.piY wniainen 1tae.reef twRCe ee.e oAlreia.. <br /> PEI RP1200 Sect-.61nr-u OF,6.3.61_1 pF.-,M rx u..4.Te.1 pr--ed...arrlable upon regwst <br /> Pa.slFad CeiwL 0 a-*waw I"C has dapped loss fern in(1)125h inch,Mt sp.q bock.passes the oww2 41 fns 11 She <br /> rater I.-I hx dr-ppsd if#i4.12301n-h-r 9-4-.ib mW11 buckH fa11s the nleprrfy Gest F11—see aH—b d data Ch i I., <br /> mho. <br /> Meth-d.1 c ab d.pr-trop 00—kolab-n. <br /> fe.e",.n. <br /> AN&pM C-0.tjW*M Mib41m 1 h W W[M.-less e41ew1,b 4 41ra3f 3Chod. <br /> Mark We A <br /> Spill containers do not have a minlnxun capacrty of five cplkxls and require aeerllenl. <br /> Rdd*bowl oozes of FrNs page maybe aftached. <br /> Page 2 012 <br /> All the Best, <br /> Carol Presto <br /> Registered Environmental Health Specialist <br /> San Joaquin County Environmental Health Department <br /> Email: cpresto(a sjgov.org I Phone: (209) 616-3061 <br /> https://www.sjo� vor /g_department/envhealth/ <br /> 2 <br />