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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 ❑ Professfonai Engineer <br /> Test Type Ll Pressure ❑ Vacuum 0 Hydrostatic <br /> Tank ID reg fill sup fill die fill <br /> Spill Container Manufacturer. °pw °pw °pw <br /> Nonmetallic 0 Nonmetallic ® nonmetallic ❑ Nonmetallic <br /> Method of Cathodic Protection P Other ❑ Other ❑ Other El Other <br /> Is the spill container minimum R: Yes 0 Yes ® Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> R1 Drain R1 Drain ® Drain D Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump Li Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> 11Nonmetatlie 11 Nonmetallic El Nonmetallic ❑ Nonmetallic <br /> Method of Cathodic Protection ❑ Other ❑ Other ❑ Other LJ Other <br /> Is the spill container minimum ❑ yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> D Pass ❑ Pass ❑ Pass L2Pass <br /> Spill Container Test Results Q Fail ❑ Fail ❑ 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 gaHons and require replacement. <br /> Additionaf copies of this page may be attached. <br /> Page 2 of 2 <br />