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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6, SPILL CONTAINER DETAILS <br /> Test Method Developed by M Manufacturer ® Industry Standard ® Professional Engineer <br /> Test Type ❑ Pressure ® Vacuum ® Hydrostatic <br /> [ETanklD regular super <br /> iner Manufacturer: OPW OPW <br /> Method of Cathodic Protection ER Nonmetallic ER Nonmetallic ® Nonmetallic ® Nonmetallic <br /> ® Other ® Other ❑ Other ® Other <br /> Is the spill container minimum ® Yes <br /> capacity five gallons excluding Ox Yes El Yes E] 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 /> ® Fail ® Fail ® Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ® Nonmetallic ® Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ® Other ® Other ® Other ® Other <br /> Is the spill container minimum <br /> capacity five gallons excluding ® ® Yes Yes ® Yes ® Yes <br /> riser volume? ® No* ® No* 0 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 /> ® Fail I ® Fail 1 ® Fail ❑ Fail <br /> 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 />