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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> fi. SPILL CONTAINER DETAILS <br /> Test Method Developed by I I Manufacturer �/ Industry StandaIV( <br /> Professional Engineer <br /> Test Type Pressure Vacuum jHydrostatic <br /> Tank ID 87 Fill 87 Fill 91 Fill DSL Fill <br /> Spill Container Manufacturer: oPw OPW oPw opw <br /> Method of Cathodic Protection [Z]Nonmetallic Z/ Nonmetallic 711onmetallic ! Nonmetallic <br /> ❑Other Other Other ❑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 ✓ Drain ! Drain ,/ Drain [Z]Drain <br /> empty ❑Pump Pump [—]Pump ❑Pump <br /> Other Other F70ther DOther <br /> Spill Container Test Results ✓ Pass OPass Pass OPass <br /> ❑Fail Fail ❑Fail ❑Fail <br /> Tank ID 87 Vapor 87 Vapor 91 Vapor DSL Fill <br /> Spill Container Manufacturer: oPw oPw oPw oPw <br /> Method of Cathodic Protection ❑✓ Nonmetallic ✓ Nonmetallic LL/JN on metallic Z 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 /> Method to keep spill container ❑Drain Drain Drain rain <br /> empty QPump Pump ✓❑Pump IZIPump <br /> Other F1Other ❑OtherIF-]Other <br /> Spill Container Test Results ✓❑Pass ass ✓ Pass ✓ Pass <br /> ❑Fail 113ail ElFail [email <br /> 8. COMMENTS <br /> Describe all answers marked "Other,""No,"or"Fail"and each proposed remedy. <br /> * Mark here if: <br /> 17 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 />