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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 Standard Professional Engineer <br /> Test Type Pressure Vacuum ✓ Hydrostatic <br /> Tank ID 87 Fill 87 Fill 91 Fill <br /> Spill Container Manufacturer: opw oPw aPw <br /> Method of Cathodic Protection [Z]Nonmetallic �/ Nonmetallic Z Nonmetallic Nonmetallic <br /> ❑Other Other Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes ❑✓ Yes ❑Yes <br /> capacity five gallons excluding [:]No* ❑No* ❑No* 1:1 No* <br /> riser volume? <br /> [::]Drain Drain Drain ❑Drain <br /> Method to keep spill container Pump �( Pump QPump ❑Pump <br /> empty Other 7 Other DOther 00ther <br /> Spill Container Test Results ✓ Pass [Z]Pass [Z]Pass ❑Pass <br /> ❑Fail DFail [—]Fail ❑Fail <br /> Tank ID 87 Vapor 87 Vapor 91 Vapor <br /> Spill Container Manufacturer: OPw OPw oPw <br /> Method of Cathodic Protection I✓ Nonmetallic FNonmetallic ✓ Nonmetallic Nonmetallic <br /> Other ❑Other Other ❑Other <br /> Is the spill container minimum ✓❑Yes ❑✓ Yes ✓ Yes ❑Yes <br /> capacity five gallons excluding ❑No* ❑No* ❑No* [—]No* <br /> riser volume? <br /> ❑Drain Drain Drain rain <br /> Method #o keep spill container Pump Pump [Z]Pump [�ump <br /> empty Other FlOther ❑Other F710ther <br /> Spill Container Test Results [Z]Pass ass ✓ Pass Pass <br /> ❑Fail Rail Fail email <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or"Fail'and each proposed remedy. <br /> * Mark here if: <br /> FlSpill containers do not have a minimum ca aci of five gallons and require replacement. <br /> Additional copies of this page may be attached. <br /> Page 2 of 2 <br />