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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 StandardProfessional Engineer <br /> Test Type Pressure Vacuum <br /> H <br /> Hydrostatic <br /> Tank ID T1 87 Fill T2 91 Fill T3 Diesel Fill <br /> Spill Container Manufacturer: oPW OPw oPw <br /> Method of Cathodic Protection [Z] Nonmetallic [2] Nonmetallic ,/ INonmetallic FINonmetallic <br /> 00ther MOther 00ther ( Other <br /> Is the spill container minimum F71 Yes 12 Yes ✓]Yes ❑ Yes <br /> capacity five gallons excluding F1No * ] No* [:] No* No * <br /> riser volume? <br /> Method to keep spill container ✓ Drain v( Drain ✓ Drain QDrain <br /> empty [ Pump Pump Pump F7PUMP <br /> [710ther Other DOther Other <br /> Spill Container Test Results ✓ Pass Pass Pass [:]Pass <br /> ❑ Fail Fail [] Fail DFail <br /> Tank ID T1 e7 Vapor T2 91 vapor <br /> Spill Container Manufacturer: oPw oPw <br /> Method of Cathodic Protection <br /> [Z] Nonmetallic allonmetallic Nonmetallic Nonmetallic <br /> Other Other ❑ Other DOther <br /> Is the spill container minimum QYes Q✓ Yes Yes QYes <br /> capacity five gallons excluding No ONo* ONo * ONo* <br /> riser volume? LJ <br /> Method to keep spill container ❑Drain Drain Drain EjDrain <br /> empty QPump Pump ❑ Pump Opump <br /> Other P9Other ❑ Other [7]Other <br /> Spill Container Test Results 0✓ Pass Lass Pass Pass <br /> Fail ll Fail []Fail <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 gallons and require replacement . <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />