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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 87-2 91 <br /> Spill Container Manufacturer: phil-tite phil-tite phil-tite <br /> Method of Cathodic Protection ® Nonmetallic © Nonmetallic © Nonmetallic ❑ Nonmetallic <br /> ❑ Other [M Other r] Other ❑ Other <br /> Is the spill container minimum ® Yes D Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding 0 No* 0 No* ❑ No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ❑ Drain ® Drain ® Drain ❑ Drain <br /> empty ® Pump ❑ Pump ® Pump ❑ Pump <br /> D Other 8 Other ® Other ❑ Other <br /> Spill Container Test Results C Pass © Pass ® Pass ❑ Pass <br /> Fail ❑ Fail ❑ Fail 1 ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection © Nonmetallic [F] Nonmetallic [r] Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* 7 No* © No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ® Drain ❑ Drain ❑ Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> 0 Other ® Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass © Pass ❑ Pass <br /> ❑ Fail © Fail 0 Fail © Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," 'Wo,"or "Fail"and each proposed remedy. <br /> * Mark here if: <br /> 0 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 />