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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> fi. SPILL CONTAINER DETAILS <br /> Test Method Developed by Manufacturer6 Industry Standard Professional Engineer <br /> --1 <br /> Test Type Pressure Vacuum Hydrostatic <br /> Tank ID DSL 1 Fill DSL 2 Fill DEF <br /> Spill Container Manufacturer: oPW oPW oPW <br /> Method of Cathodic Protection [Z]Nonmetallic ,/ Nonmetallic y Nonmetallic Nonmetallic <br /> ❑Other Other MOther ❑Other <br /> Is the spill container minimum ✓❑Yes ❑✓ Yes <br /> capacity five gallons excluding ✓❑Yes ❑Yes <br /> riser volume? [:]No* ::]No* ❑No* ❑No* <br /> Method to keep spill container Drain Drain LjDrain [—]Drain <br /> empty [Z]Pump �/ Pump QPump ❑Pump <br /> Other 00ther MOther FjOther <br /> Spill Container Test Results ✓ Pass [Z]Pass [z]Pass ❑Pass <br /> ❑Fail Fail ❑Fail ❑Fail <br /> Tank ID DSL 1 vapor DSL 2 vapor <br /> Spill Container Manufacturer: oPW oPW <br /> Method of Cathodic Protection IF./]Nonmetallic [Z]Nonmetallic ENonmetallic LjNonmetallic <br /> Other ❑Other ❑Other tether <br /> Is the spill container minimum QYes ✓❑Yes LYes ❑Yes <br /> capacity five gallons excluding <br /> riser volume? ❑No* ❑No* ❑No* ❑No* <br /> Method to keep spill container ❑Drain Drain Drain rain <br /> empty [Z]Pump QPump ❑Pump EIPump <br /> Other MOther ❑Other ther <br /> Spill Container Test Results [Z]Pass ✓ ass 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 require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />