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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by L Manufacturer �/ Industry Standard Professional Engineer <br /> Test Type Pressure I Vacuum 1,(IHydrostatic <br /> Tank ID T1 87 Fill T2 87 Fill T3 91 Fill <br /> Spill Container Manufacturer: oPW OPW oPW <br /> Method of Cathodic Protection ✓❑Nonmetallic �/ Nonmetallic �/ Nonmetallic Nonmetallic <br /> ❑Other Other Other [::]Other <br /> the spill container minimum ✓❑Yes ❑✓ Yes ❑✓ Yes [:]Yes <br /> five gallons excluding ❑No* ❑No* [—]No* ❑No* <br /> riser volume? <br /> Method to keep spill container ❑Drain 7FDrain Drain [—]Drain <br /> empty [Z]Pump ZI Pump [Z]Pump ❑Pump <br /> Other 70ther F70ther Other <br /> Spill Container Test Results ✓ Pass OPass [Z]Pass Bail <br /> ass <br /> [::]Fail Fail ❑Fail <br /> Tank ID T1 87 Vapor T2 87 Vapor T3 91 Vapor <br /> Spill Container Manufacturer: oPW oPW oPW <br /> Method of Cathodic Protection ❑✓ Nonmetallic O/ Nonmetallic 2 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 /> riser volume? <br /> Method to keep spill container ❑Drain LjDrain Drain [rain <br /> [Z]PUMP ✓Pump Pump ✓❑Pump �ump <br /> empty Other I 10ther ❑Other then <br /> Spill Container Test Results F✓ Pass 21pass ✓ Pass EPass <br /> ❑Fail L.1ail 017ail 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 />