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Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by ❑ <br />Manufacturer ® Industry Standard <br />❑ <br />Professional <br />Engineer <br />Test Type ® <br />Pressure ❑ Vacuum <br />® <br />Hydrostatic <br />Tank ID <br />87 <br />91 <br />DSL <br />Spill Container Manufacturer: <br />EMCO <br />EMCO <br />EMCO <br />El Nonmetallic <br />m Nonmetallic <br />® <br />Nonmetallic <br />07 <br />Nonmetallic <br />Method of Cathodic Protection <br />® Other <br />® Other <br />❑ <br />Other <br />❑ <br />Other <br />Is the spill container minimum <br />❑ Yes <br />❑ Yes <br />® <br />Yes <br />❑ <br />Yes <br />capacity five gallons excluding <br />❑ No* <br />❑ No* <br />Q'] <br />No* <br />❑ <br />No* <br />riser volume? <br />❑ Drain <br />® Drain <br />❑ <br />Drain <br />❑ <br />Drain <br />Method to keep spill container <br />❑ Pump <br />❑ Pump <br />❑ <br />Pump <br />❑ <br />Pump <br />empty <br />❑ Other <br />❑ Other <br />❑ <br />Other <br />❑ <br />Other <br />❑ Pass <br />® Pass <br />r <br />Pass <br />❑ <br />Pass <br />Spill Container Test Results <br />® Fail <br />® Fail <br />® <br />Fail <br />❑ <br />Fail <br />Tank ID <br />Spill Container Manufacturer: <br />07 Nonmetallic <br />El Nonmetallic <br />r] <br />Nonmetallic <br />E] <br />Nonmetallic <br />Method of Cathodic Protection <br />❑ Other <br />❑ Other <br />❑ <br />Other <br />❑ <br />Other <br />Is the spill container minimum <br />® Yes <br />❑ Yes <br />❑ <br />Yes <br />® <br />Yes <br />capacity five gallons excluding <br />❑ No* <br />® No* <br />❑ <br />No* <br />❑ <br />No* <br />riser volume? <br />® Drain <br />❑ Drain <br />❑ <br />Drain <br />❑ <br />Drain <br />Method to keep spill container <br />❑ Pump <br />❑ Pump <br />R7 <br />Pump <br />❑ <br />Pump <br />empty <br />❑ Other <br />❑ Other <br />❑ <br />Other <br />❑ <br />Other <br />® Pass <br />❑ Pass <br />❑ <br />Pass <br />® <br />Pass <br />Spill Container Test Results <br />❑ Fail <br />® Fail <br />® <br />Fail <br />❑ <br />Fail <br />8. COMMENTS <br />Describe all answers marked "Other," <br />"No," or "Fail' and each proposed remedy. <br />All spill buckets failed due to inop fill caps. <br />Two fill caps did not have a gasket. <br />Once fill cap had a gasket, but <br />still leaked. <br />Will need to return to replace fill caps and retest buckets. <br />* Mark here if: <br />❑ Spill containers do not have a minimum capacity of five gallons and <br />require replacement. <br />Additional copies of this page may be attached. <br />Page 2 of 2 <br />