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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/ Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum 1,/IHydrostatic <br /> Tank ID 87 Fill 91 Fill DSL Fill <br /> Spill Container Manufacturer: oPW QPW oPW <br /> Method of Cathodic Protection [Z]Nonmetallic LjNonmetallic ,! Nonmetallic Nonmetallic <br /> ❑Other Other F70ther ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes <br /> capacity five gallons excluding ✓❑Yes Yes <br /> riser volume? ❑No* []No* ❑No* ❑No* <br /> Method to keep spill container F—jDrain Drain LjDrain ❑Drain <br /> empty [Z]Pump -71 Pump [Z]PUMP ❑Pump <br /> Other 70ther Other 00ther <br /> Spill Container Test Results ✓JPass QPass Pass ❑Pass <br /> ❑Fail Fail ❑Fail ❑Fail <br /> Tank ID 87 Vapor 91. Vapor DSL Vapor <br /> Spill Container Manufacturer: oPW aPW oPW <br /> Method of Cathodic Protection ✓❑Nonmetallic ONonmetallic �/ Nonmetallic Nonmetallic <br /> Other [:]Other Other ❑Other <br /> Is the spill container minimum QYes ✓❑Yes ✓ Yes ❑Yes <br /> capacity five gallons excluding ❑No* ❑No* [:]No* [-]No* <br /> volume? <br /> Method to keep spill container ❑Drain Drain LJDrain rain <br /> empty [Z]Pump Pump ✓❑Pump E:1Pump <br /> Other HOther [-]Other then <br /> Spill Container Test Results ✓❑Pass ✓ ass ✓ Pass LjPass <br /> ❑Fail ail Fail ail <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 />