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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> fi. SPILL CONTAINER DETAILS <br /> Test Method Developed by ® Manufacturer ❑ Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure p] Vacuum Cl Hydrostatic <br /> Tank ID 87 Diesel Waste Oil <br /> Spill Container Manufacturer: CNI CNI CNI <br /> Method of Cathodic Protection ❑ Nonmetallic m Nonmetallic 0 Nonmetallic [I Nonmetallic <br /> ❑ Other 01 Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes p] Yes ® Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ❑ Drain 0 Drain m Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ❑ Pass m Pass ❑ Pass ❑ Pass <br /> ❑ Fail I m Fail 117 Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ® Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other 0 Other ❑ Other ❑ Other <br /> Is the spill container minimum ❑ Yes ® Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ❑ Drain ® Drain ® Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> ❑ Other 0 Other a7 Other ❑ Other <br /> Spill Container Test Results m Pass ❑ Pass ❑ Pass ❑ Pass <br /> E] Fail 1 ❑ Fail I ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe alt 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 />