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Underground Storage Tank Spill Container Testing Report Form 6. SPILL CONTAINER DETAILS Test Method Developed by ❑✓ Manufacturer ❑ Industry Standard ❑ Professional Engineer Test Type ❑ Pressure ❑ Vacuum ❑✓ Hydrostatic Tank ID 87 OCTANE DIESEL # 2 Spill Container Manufacturer: O P W O P W 0 Nonmetallic ❑ Nonmetallic ❑ Nonmetallic 0 Nonmetallic Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum 0 Yes ❑ Yes ❑ Yes 0 Yes capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* riser volume? 0 Drain ❑ Drain ❑ Drain 0 Drain Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other ❑ Other p Pass ❑ Pass ❑ Pass 0 Pass Spill Container Test Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail Tank ID Spill Container Manufacturer: ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* riser volume? El Drain El Drain El Drain ElDrain Method to keep spill container El Pump El Pump El Pump El Pump empty ❑ Other ❑ Other ❑ Other ❑ Other ❑ Pass ❑ Pass ❑ Pass ❑ Pass Spill Container Test Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail 8. COMMENTS Describe all answers marked "Other," "No,"or "Fail" and each proposed remedy. * Mark here if: ❑ Spill containers do not have a minimum capacity of five gallons and require replacement. Additional copies of this page may be attached. Page 2 of 2