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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by ❑ Manufacturer 0 Industry Standard ❑ Professional Engineer <br /> Test Type ❑ Pressure ❑ Vacuum 0 Hydrostatic <br /> Tank ID T1 W.Oil Near rack T2 W.Oil Near gate T3 Anti-Freeze T4 Gear Oil <br /> Spill Container Manufacturer: EBW CNI EBW EBW <br /> D Nonmetallic ❑ Nonmetallic 0 Nonmetallic 0 Nonmetallic <br /> Method of Cathodic Protection ❑ Other 0 Other ❑ Other ❑ Other <br /> Is the spill container minimum p Yes 0 Yes 0 Yes 0 Yes <br /> capacity five gallons excluding El ❑ No* ❑ No* ElNo* <br /> riser volume? <br /> 0 Drain 0 Drain 0 Drain 0 Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results <br /> D Pass 0 Pass 0 Pass 0 Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> Tank ID T5 Motor Oil T6 W.Oil Tank Field T7 Soap tank <br /> Spill Container Manufacturer: EBW OPW EBW <br /> D Nonmetallic ❑ Nonmetallic 0 Nonmetallic El Nonmetallic <br /> Method of Cathodic Protection ❑ Other 0 Other ❑ Other ❑ Other <br /> Is the spill container minimum p Yes 0 Yes 0 Yes ❑ Yes <br /> capacity five gallons excluding El No* ❑ No* E] No* [I No* <br /> riser volume? <br /> ❑ Drain ❑ Drain ❑ Drain ❑ Drain <br /> Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump <br /> empty ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results <br /> D Pass 0 Pass 0 Pass ❑ Pass <br /> ❑ Fail ❑ Fail ❑ Fail ❑ Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other,""No,"or "Fail"and each proposed remedy. <br /> OPW, CNI or EBW publish no"In-Service" integrity test procedures for their spill containers that meet SWRCB test criteria.. <br /> PEI RP1200 Section 6 through 6.2.6 test procedures used.Test procedures available upon request. <br /> Pass/Fail Criteria. If the water level has dropped less than 1/8(0.125) inch,the spill bucket passes the integrity test. If the <br /> water level has dropped 1/8(0.125) inch or greater,the spill bucket fails the integrity test. Please see attached data sheet for <br /> more info. <br /> Method of cathodic protection-Other-Isolation. <br /> Test Results: <br /> All spill containers tested for 1 hour with no loss of level,test data attached. <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 />