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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 I 87 191 DSL 11 Spill Container Manufacturer: Method of Cathodic Protection Is the spill container minimum capacity five gallons excluding riser volume? Method to keep spill container empty 11 Spill Container Test Results II Tank ID Spill Container Manufacturer: Method of Cathodic Protection Is the spill container minimum capacity five gallons excluding riser volume? Method to keep spill container empty Spill Container Test Results EMCO EMCO ® Nonmetallic ❑ Nonmetallic ® Other ® Other ❑ Yes ❑ Yes ❑ No* ❑ No* ❑ Drain ® Drain ❑ Pump ❑ Pump ❑ Other ❑ Other ❑ Pass ® Pass Irl Fail ❑ Fail ❑ Nonmetallic ❑ Other ❑ Yes ® Yes ❑ No* ® Drain ❑ Pump ❑ Other IM Pass ❑ Fail ❑ Nonmetallic ❑ Other ❑ Yes ® No* ❑ Drain ❑ Pump ❑ Other ❑ Pass Irl Fail EMCO ❑ Nonmetallic ❑ Other ® Yes p1 No* ❑ Drain ❑ Pump ❑ Other ❑ Pass Irl Fail ❑ Nonmetallic ❑ Other ❑ Yes ❑ No* ® Drain ❑ Pump ❑ Other ® Pass Irl Fail 8. COMMENTS Describe all answers marked "Other," "No," or "Fail' and each proposed remedy. Replaced fill caps, retested, passed. ❑ Nonmetallic ❑ Other ❑ Yes ❑ No* ❑ Drain ❑ Drain ❑ Pump ❑ Other ❑ Pass n Fail ❑ Nonmetallic ❑ Other ❑ Yes ❑ No* ❑ Drain ❑ Pump ❑ Other ❑ Pass n Fail * 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