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Underground Storage Tank Spill Container Testing Report Form 16. SPILL CONTAINER DETAILS 1 Test Method Developed by El Manufacturer ® Industry Standard ❑ Professional Engineer Test Type ❑ Pressure ❑ Vacuum ❑ Hydrostatic Tank ID 87 91 DSL Spill Container Manufacturer: OPW OPW OPW ® Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic Method of Cathodic Protection ® Other ® Other ❑ Other ❑ Other Is the spill container minimum ❑ Yes ❑ Yes ® Yes ❑ Yes capacity five gallons excluding ® No* ❑ No* r.1 No* ❑ No* riser volume? ® Drain ® Drain ® Drain ❑ Drain Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump empty ® Other ❑ Other ❑ Other ❑ Other ❑ Pass ❑ Pass 17 Pass ❑ Pass Spill Container Test Results ❑ Fail 1 ❑ Fail I ❑ Fail ❑ Fail Tank ID Spill Container Manufacturer: Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes capacity five gallons excluding ❑ No* ❑I No* ❑ No* ❑ No* riser volume? Method to keep spill container ® Drain ❑ Drain ® Drain ❑ Drain ® Pump ❑ Pump r Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other ❑ Other Spill Container Test Results ® Pass ❑ Pass ❑ Pass ❑ Pass ❑ Fail I ❑ Fail I ® Fail ❑ Fail 8. COMMENTS Describe all answers marked "Other, " "No, " or "Fail' and each proposed remedy. * Mark here if: Spill containers do not have a minimum capacity of five qallons and require replacement. Additional copies of this page may be attached. Page 2 of 2