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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by I ManufacturerV/ Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum Hydrostatic <br /> Tank ID T1 87 Fill T1 87 Fill T2 91 Fill T3 DSL Fill <br /> Spill Container Manufacturer: OPW oPW opw oPW <br /> Method of Cathodic Protection ❑✓ Nonmetallic ANonmetallic Z/ Nonmetallic ✓ Nonmetallic <br /> ❑Other 70ther 00ther ❑Other <br /> Is the spill container minimum ✓❑Yes 7 Yes ✓❑Yes ✓❑Yes <br /> capacity five gallons excluding ❑No* ❑No* ❑No* ❑No* <br /> riser volume? <br /> Method to keep spill container Drain ✓ Drain ✓ Drain [Z]Drain <br /> empty ❑Pump Pump ❑Pump ❑Pump <br /> Other 70ther Other Other <br /> Spill Container Test Results ✓ Pass Pass [Z]Pass. [Z]Pass <br /> ❑Fail Fail ❑Fail ❑Fail <br /> Tank ID Tl 87 Vapor T3 87 Vapor T2 87 Vapor T3 DSL Vapor <br /> Spill Container Manufacturer: opw opw opw opw <br /> Method of Cathodic Protection QNonmetallic ❑✓ Nonmetallic ✓ Nonmetallic �/ Nonmetallic <br /> Other ❑Other Other ❑Other <br /> Is the spill container minimum ❑✓ Yes [Z]Yes ✓ Yes [Z]Yes <br /> capacity five gallons excluding ❑No* ❑No* ❑No* ❑No* <br /> riser volume? <br /> [:]Drain Drain Drain ]rain <br /> Method to keep spill container Pump [Z]Pump ✓❑Pump Epump <br /> empty F710ther Other ❑Other ther <br /> Spill Container Test Results ❑✓ Pass ✓ ass ✓ Pass ✓ Pass <br /> [::]Fail ail Fail email <br /> 8. COMMENTS <br /> Describe al/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 />