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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by Ll Manufacturer l) Industry Standard LJ Professional Engineer <br /> Test Type Ll Pressure 0 Vacuum Ll Hydrostatic <br /> Tank ID T-1-87 T-2-91 <br /> Spill Container Manufacturer. oPw oPw <br /> Method of Cathodic Protection 0 Nonmetallic 0 Nonmetallic Ll Nonmetallic Ll Nonmetallic <br /> E] Other E] Other 0 Other 11 Other <br /> Is the spill container minimum R1 Yes R1 Yes L) Yes E) Yes <br /> capacity five gallons excluding L1 No* Ll No* Ll No* Ll No* <br /> riser volume? <br /> A Drain A Drain Ll Drain Ll Drain <br /> Method to keep spill container Ll pump Ll Pump Ll Pump ll Purnp <br /> empty El Other Ll Other E) Other 11 Other <br /> Spill Container Test Results ® Pass ® Pass LJ Pass El Pass <br /> I Ll Fail j Ll Fail Ll Fail A Fail <br /> Tank 10 <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection E] Nonmetallic L) Nonmetallic L1 Nonmetallic D Nonmetallic <br /> L1 Other L1 Other L Other El Other <br /> Is the spill container minimum L1 Yes L1 Yes Ll Yes ll Yes <br /> capacity five gallons excluding Ll No* El No* Ll No* ll No* <br /> riser volume? <br /> Ll Drain El Drain Ll Drain ll Drain <br /> Method to keep spill container E) pump E) Pump E) Pump El Pump <br /> empty ❑ Other L-3 Other LJ Other J Other <br /> El Pass El L) Pass J Pass <br /> Spill Container Test Results ❑ Fail ❑ Fail L Fail ll Fail <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 2of2 <br />