Laserfiche WebLink
Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6 . SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer N Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum N Hydrostatic <br /> Tank ID 1 #= Regular #2 - Premium #3 - Diesel <br /> Spill Container Manufacturer : Phil -tite Phil =tite Phil -tite <br /> Method of Cathodic Protection N Nonmetallic N Nonmetallic N Nonmetallic ❑ Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum N Yes N Yes N Yes ❑ Yes <br /> capacity five gallons excluding ElNo * ElNo * ElNo * ElNo * <br /> riser volume ? <br /> Method to keep spill container N Drain N Drain N Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results N Pass N Pass N Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer : <br /> Method of Cathodic Protection El Nonmetallic El Nonmetallic ❑ Nonmetallic El Nonmetallic <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ElNo * ElNo * ❑ No * ElNo * <br /> riser volume ? <br /> Method to keep spill container ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass ❑ Pass ❑ Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8 . COMMENTS <br /> Describe all answers marked "Other, " "No, " or "Fail" and each proposed remedy. <br /> Inspector Gabriela on site . <br /> * Mark here if : ❑ Spill containers do not have a minimum capacity of five gallons and require <br /> replacement . <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />