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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by Manufacturer V/ Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum r/ Hydrostatic <br /> Tank ID 87 Fill 91 Fill DSL Fill <br /> Spill Container Manufacturer: oPw oPw oPw <br /> Method of Cathodic Protection <br /> QNonmetallic ZNonmetallic �( Nonmetallic Nonmetallic <br /> ❑Other Other Other ❑Other <br /> Is the spill container minimum ,✓❑Yes ✓❑Yes ❑✓ Yes ❑Yes <br /> capacity five gallons excluding <br /> riser volume? ❑No* ::1 No* ❑No* ❑No* <br /> Method to keep spill container ❑✓ Drain _✓j Drain ! Drain ❑Drain <br /> empty ❑Pump Pump ❑Pump ❑Pump <br /> Other Other Other Other <br /> Spill Container Test Results ✓ Pass [Z]Pass Pass [—]Pass <br /> ❑Fail Fail ❑Fail I[-_-]Fail <br /> Tank ID 87 vapor 91 vapor <br /> Spill Container Manufacturer: oPw oPw <br /> Method of Cathodic Protection F7 Nonmetallic QNonmetallic HNonmetallic LjNonmetallic <br /> Other =Other ❑Other =Other <br /> Is the spill container minimum ❑✓ Yes ✓❑Yes Yes ❑Yes <br /> capacity five gallons excluding ❑No* [:]No* ❑No* [:]No*riser volume? <br /> Method to keep spill container ❑Drain DrainDrain rain <br /> empty [Z]Pump [Z]Pump ❑Pump EJPump <br /> Other Other ❑Other they <br /> Spill Container Test Results ✓❑Pass ✓ ass Pass Pass <br /> �OFail ail F7FaiI [Tail <br /> B. 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 />