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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> LTest Method Developed by ❑ Manufacturer ® Industry Standard ❑ Professional Engineer <br /> st Type ® Pressure ❑ Vacuum ® Hydrostatic <br /> Tank ID DSL 1 DSL 2 <br /> Spill Container Manufacturer: OPW OPW <br /> Method of Cathodic Protection ® Nonmetallic ❑ Nonmetallic ❑ 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 /> Method to keep spill container E3 Drain ® Drain El Drain ❑ Drain <br /> empty 17 Pump 91 Pump [I Pump E] Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> S ❑ Pass IM Pass r7 Pass ❑ Pass <br /> Spill Container Test Results <br /> ® Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ® Nonmetallic ❑ Nonmetallic ❑ 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 /> Method to keep spill container ® Drain ❑ Drain ® Drain ❑ Drain <br /> empty ❑ Pump ❑ Pump p" Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ® Pass ® Pass ® Pass 17 Pass <br /> ❑ Fail ❑ Fail ® Fail ❑ Fail <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 />