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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6 , SPILL CONTAINER DETAILS <br /> Test Method Developed by R7 Manufacturer © Industry Standard 0 Professional Engineer <br /> Test Type © Pressure © Vacuum © Hydrostatic <br /> Tank ID T2 : Diesel T3 : New Oil T4 : Waste Oil <br /> Spill Container Manufacturer : PhikTite PhikTite PhikTite <br /> Method of Cathodic Protection © Nonmetallic LM Nonmetallic F1 Nonmetallic I❑ Nonmetallic <br /> ❑ Other ❑ Other © Other ❑ Other <br /> Is the spill container minimum © Yes F] Yes ® Yes Q Yes <br /> capacity five gallons excluding ❑ No * © No * No * [I-I No * <br /> riser volume ? <br /> Method to keep spill container © Drain © Drain 0 Drain © Drain <br /> empty 0 Pump rl Pump Q Pump ❑ Pump <br /> © Other L! Other © Other 0 Other <br /> Spill Container Test Results N Pass 0 Pass Z Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection 0 Nonmetallic © Nonmetallic 0 Nonmetallic I❑ Nonmetallic <br /> © Other ❑ Other 0 Other ❑ Other <br /> Is the spill container minimum © Yes f❑ Yes rl Yes © Yes <br /> capacity five gallons excluding 0 No * L No * T] No * © No * <br /> riser volume ? <br /> Method to keep spill container © Drain [rl Drain Vj Drainf❑ Drain <br /> empty E] Pump n Pump rl Pump Pump <br /> ❑ Other ❑ Other © Other E] Other <br /> Spill Container Test Results Ll Pass 0 Pass ❑ Pass 0 Pass <br /> Fail ® Fail 91 Fail I❑ 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 />