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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by I I Manufacturer �/ Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum 1,/IHydrostatic <br /> Tank ID 87 Fill 91 Fill DSL Fill <br /> Spill Container Manufacturer: oPW OPW oPW <br /> Method of Cathodic Protection [Z]Nonmetallic Z/ Nonmetallic ,/ Nonmetallic Nonmetallic <br /> ❑Other Other Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes ❑✓ Yes ❑Yes <br /> capacity five gallons excluding ❑No* ❑No* [:]No* E]No* <br /> riser volume? <br /> Method to keep spill container [—]Drain Drain Drain ❑Drain <br /> empty ❑✓ Pump Pump [Z]Pump ❑Pump <br /> OtherOther Other Other <br /> Spill Container Test Results ✓ Pass OPass [Z]Pass ❑Pass <br /> [—]Fail :I ❑Fail ❑Fail <br /> TankID 87 vapor 91 vapor DSL vapor <br /> Spill Container Manufacturer: oPW oPW oPW <br /> Method of Cathodic Protection ONonmetallic �/ Nonmetallic ✓ Nonmetallic Nonmetallic <br /> Other ❑Other ❑Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ✓❑Yes ✓ Yes ❑Yes <br /> capacity five gallons excluding ❑No* ❑No* ❑No* [:]No* <br /> volume? <br /> Method to keep spill container ❑Drain LjDrain Drain rain <br /> empty [Z]Pump Pump ✓❑Pump ElPump <br /> Other NOther ❑Other ther <br /> Spill Container Test Results ❑✓ Passass �/ Pass Pass <br /> ❑Fail ail Fail email <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 re uire replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />