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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 91 Spill Container Manufacturer: OPW ® Nonmetallic ® Nonmetallic ® Nonmetallic ® Nonmetallic Method of Cathodic Protection ® Other ® Other ❑ Other m Other Is the spill container minimum ® Yes ❑ Yes ® Yes ❑ Yes capacity five gallons excluding ❑ No* ❑ No* rl No* ❑ No* riser volume? ❑ Drain ❑ Drain ® Drain ❑ Drain Method to keep spill container ❑ Pump ❑ Pump ® Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other ❑ Other ❑Pass [17 Pass �"] Pass ❑Pass Spill Container Test Results ® Fail ® Fail ❑ Fail ❑ Fail Tank ID Spill Container Manufacturer: ❑ Nonmetallic ® Nonmetallic ❑ Nonmetallic ❑ Nonmetallic Method of Cathodic Protection ❑ Other ® Other ® Other ® Other Is the spill container minimum m Yes ® Yes ❑ Yes ❑ Yes capacity five gallons excluding ❑ No* ❑I No* ❑ No* ❑ No* riser volume? ® Drain ® Drain ® Drain ❑ Drain Method to keep spill container ❑ Pump ❑ Pump rj Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other ❑ Other in Pass ® Pass ❑ Pass ❑ Pass Spill Container Test Results ® Fail I ® Fail ® Fail ❑ Fail 8. COMMENTS Describe all answers marked "Other, " "No, " or "Fail" and each proposed remedy. Tested 91 spill bucket & passed. * 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