Laserfiche WebLink
Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by D Manufacturer ® Industry Standard D Professional Engineer <br /> Test Type Ll Pressure LJ Vacuum R1 Hydrostatic <br /> Tank ID REG SUP DIE <br /> Shill Container Manufacturer. oPw oPw oPw <br /> Method of Cathodic Protection A Nonmetallic A Nonmetallic A Nonmetallic Ll Nonmetallic <br /> El Other 1:1 Other El Other D Other <br /> Is the spill container minimum Z Yes A Yes 0 Yes L2 Yes <br /> capacity five gallons excluding El No* Ll No* Ll No* L3 No* <br /> riser volume? <br /> A Drain V) Drain R1 Drain J Drain <br /> Method to keep spill container Q Pump L! Pump LJ Pump LJ Pump <br /> empty E� Other Q Other D Other D Other <br /> Q Pass Z Pass 21 Pass � Pass <br /> Spill Container Test Results L� Fail 0 Fail LJ Fail LLI Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection D Nonmetallic D Nonmetallic EJ Nonmetallic D Nonmetallic <br /> LJ Other Ll Other LJ Other L=J Other <br /> Is the spill container minimum ® Yes Ll Yes Ll Yes Ll Yes <br /> capacity five gallons excluding Ll No* Ll No* Ll No* Ll No* <br /> riser volume? <br /> LJ Drain Lf Drain Lj Drain ❑J Drain <br /> Method to keep spill container g Pump Q Pump D PLI Mp D Pu€rmp <br /> empty D Other J Other EJ Other 2 Other <br /> Spill Container Test Results J Pass LA Pass L) Pass J Pass <br /> Q Fail L:J Fail Lj Fail i! Fail <br /> B. COMMENTS <br /> Describe all answers marked "Other." "No,"or "Fa and each proposed re m, edy. <br /> * Mark here if: <br /> Ll 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 />