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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 ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum ® Hydrostatic <br /> Tank ID 87 91 DIESEL <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ® Nonmetallic ❑ Nonmetallic <br /> ❑ Other El Other El Other El Other <br /> Is the spill container minimum <br /> capacity five gallons excluding ® Yes ® Yes ® Yes El Yes <br /> riser volume? ❑ No* ❑ No* ❑ No* ❑ No* <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 /> 11Fail 11Fail ElFail El Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> El Other El Other El Other El Other <br /> Is the spill container minimum <br /> capacity five gallons excluding El Yes El Yes El Yes El Yes <br /> riser volume? ❑ No* ❑ No* ❑ No* ❑ No* <br /> Method to keep spill container ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> empty ❑ Pump El Pump ❑ Pump El Pump <br /> El Other ❑ Other El Other El Other <br /> Spill Container Test Results El Pass ❑ Pass El Pass 11 Pass <br /> ❑ Fail ❑ Fail EJ Fail El 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 />