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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by Ll Manufacturer R) Industry Standard Ll Professional Engineer <br /> Test Type Ll Pressure 0 Vacuum ILI Hydrostatic <br /> Tank ID T1 SUPREME T2 REG 2 T3 REG1 <br /> Spill Container Manufacturer: °Pw oPw oPw <br /> Method of Cathodic Protection V) Nonmetallic 0 Nonmetallic 0 Nonmetallic Ll Nonmetallic <br /> Ll Other Ll Other 0 Other Ll Other <br /> Is the spill container minimum 0 Yes 0 Yes 0 Yes LJ Yes <br /> capacity five gallons excluding L No* Ll No* Ll No* Lj No* <br /> riser volume? <br /> 0 Drain 0 Drain A Drain L! Drain <br /> Method to keep spill container El pump Ll Pump L1 Pump L Pump <br /> empty L Other LJ Other El Other Ll Other <br /> Spial Container Test Results Z Pass ® Pass 0 Pass LJ Pass <br /> L Fail Ll Fail Ll Fail J! Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Li Nonmetallic LA Nonmetallic LA Nonmetallic Ll Nonmetallic <br /> Method of Cathodic Protection D Other El Other El Other Ll Other <br /> Is the spill container minimum U Yes LA Yes El Yes El Yes <br /> capacity five gallons excluding L No* Ll No* L] No* L1 No* <br /> riser volume? <br /> Ll Drain 12 Drain L1 Drain 0 Drain <br /> Method to keep spill container L pump U Pump U Pump LJ Pump <br /> empty L Other El Other Ll Other 11 Other <br /> Spill Container Test Results Li Pass LA Pass Ll Pass LA Pass <br /> O Fail Ll Fail 0 Fail J Fail <br /> 8. COMMENTS <br /> Describe atl answers marked '`Other,'"No,"or"Fail'and each proposed remedy. <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 />