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Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS I <br />Test Method Developed by D Manufacturer ® Industry Standard D Professional Engineer <br />Test Type Ll Pressure LJ Vacuum 21 Hydrostatic <br />Tank ID <br />reg fill <br />sup fill <br />Spill Container Manufacturer. <br />opw <br />opw <br />R1 Nonmetallic <br />R1 Nonmetallic <br />11 Nonmetailic <br />Ll Nonmetallic <br />Method of Cathodic Protection <br />Ll Other <br />1:1 Other <br />El Other <br />D Other <br />Is the spill container minimum <br />Z Yes <br />A Yes <br />ZI Yes <br />L2 Yes <br />capacity five gallons excluding <br />El No* <br />Ll No* <br />Ll No* <br />L3 No* <br />riser volume? <br />A Drain <br />0 Drain <br />Ll Drain <br />J Drain <br />Method to keep spill container <br />LJ Pump <br />L! Pump <br />LJ Pump <br />LJ Pump <br />empty <br />L:) Other <br />Q Other <br />D Other <br />D Other <br />® Pass <br />Z Pass <br />D Pass <br />L=J Pass <br />Spill Container Test Results <br />EJ Fail <br />Lj Fail <br />D Fail <br />D Fail <br />Tank ID <br />Spill Container Manufacturer: <br />D Nonmetallic <br />D Nonmetallic <br />EJ Nonmetallic <br />D Nonmetallic <br />Method of Cathodic Protection <br />LJ Other <br />Ll Other <br />LJ Other <br />L=J Other <br />Is the spill container minimum <br />® Yes <br />Ll Yes <br />Ll Yes <br />LJ Yes <br />capacity five gallons excluding <br />Ll No* <br />Ll No* <br />Ll No* <br />L11 No* <br />riser volume? <br />LJ Drain <br />Lf Drain <br />Lj Drain <br />❑J Drain <br />Method to keep spill container <br />g Pump <br />Q Pump <br />EJ PLI MP <br />D PUMP <br />GM Pty <br />D Other <br />J Other <br />EJ Other <br />2 Other <br />J Pass <br />L-1 Pass <br />L) Pass J Pass <br />Spill Container Test Results <br />Q Fail <br />L:J Fail <br />Lj Fail Q Fail <br />B. COMMENTS <br />Describe all answers marked "Other." "No," or `'f=ail" and each proposed re m, edy. <br />* Mark here if: <br />Ll 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 />