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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by Manufacturer �/ Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum 1,,( Hydrostatic <br /> Tank ID 87 Fill 87 Fill 87 Fill 91 Fill <br /> Spill Container Manufacturer: oPW oPW oPW oPW <br /> Method of Cathodic Protection ❑✓ Nonmetallic A Nonmetallic �/ Nonmetallic LjNonmetallic <br /> ❑Other Other Other ❑Other <br /> Is the spill container minimum ✓❑Yes ❑✓ Yes ❑ OYes <br /> capacity five gallons excluding ✓ Yes <br /> riser volume? ❑No* ::]No' ❑No* ❑No* <br /> Method to keep spill container ✓ Drain ! Drain ✓ Drain [Z]Drain <br /> empty ❑Pump Pump ❑Pump ❑Pump <br /> Other Other 70ther Other <br /> Spill Container Test Results ✓ PassOPass ❑✓ Pass OPass <br /> [:]Fail Fail ❑Fail ❑Fail <br /> Tank ID 87 Vapor 87 Vapor 87 Vapor 91 Vapor <br /> Spill Container Manufacturer: oPW oPW oPW oPW <br /> Method of Cathodic Protection ❑✓ Nonmetallic ONonmetallic �/ Nonmetallic ,/ Nonmetallic <br /> Other ❑Other Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ✓❑yes ✓ Yes ✓❑Yes <br /> capacity five gallons excluding <br /> riser volume? ❑No* [—]No* ❑No* ❑No* <br /> [—]Drain Drain Drain rain <br /> Method to keep spill container [Z]PumpOPump OPump �ump <br /> empty Other Other ❑Other ther <br /> Spill Container Test Results [Z]Pass FY IP ass ✓ Pass E✓jPass <br /> [::]Fail rjFail Fail Eyail <br /> 8. COMMENTS <br /> Describe all answers marked "Other,""No,"or"Fail"and each proposed remedy. <br /> * Mark here if: <br /> S ill containers do not have a minimum capacity of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2of2 <br />