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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 V(j industry Standard Professional Engineer <br /> Test Type Pressure Vacuum --W]Hydrostatic <br /> Tank ID 87 Fill 91 Fill DSL Fill <br /> Spill Container Manufacturer: oPW oPW oPW <br /> Method of Cathodic Protection ❑✓ Nonmetallic v( Nonmetallic V/ Nonmetallic Nonmetallic <br /> ❑Other Other Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes ❑✓ Yes ❑Yes <br /> capacity five gallons excluding No <br /> ❑No* []No" ❑No* <br /> riser volume? <br /> Drain Drain Drain ❑Drain <br /> Method to keep spill container DPump �/ Pump [Z]Pump ❑Pump <br /> empty Other Other Other 1MOther <br /> Spill Container Test Results ✓ Pass ❑Pass ✓❑Pass ❑Pass <br /> ❑Fail ✓ Fail ❑Fail ❑Fail <br /> Tank ID 87 vapor 91 vapor DSL Vapor <br /> Spill Container Manufacturer: oPW OPW oPW <br /> Method of Cathodic Protection ONonmetallic [Z]Nonmetallic ✓ Nonmetallic Nonmetallic <br /> [710ther ❑Other ❑Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ✓❑Yes Z Yes ❑Yes <br /> capacity five gallons excluding ❑No* [:]No* <br /> [—]No*riser volume? <br /> Method to keep spill container ❑Drain LjDrain LJDrain rainDPump DPump ✓❑Pump Dump <br /> empty Other Other ❑Other ther <br /> Spill Container Test Results ❑✓ Pass ✓ Pnss ✓ Pass LjPass <br /> ❑Fail Fail F7Fail email <br /> 8. COMMENTS <br /> Describe all answers marked "Other," °No,"or"Fail'and each proposed remedy. <br /> 91 Fill spill bucket Failed due to bad bucket. Will need to return and replace spill bucket and retest. <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 />