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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> C. SPILL CONTAINER DETAILS <br /> Test Method Developed by F Manufacturer F Industry Standard ❑ Professional Engineer <br /> Test Type ® Pressure ❑ Vacuum ® Hydrostatic <br /> Tank ID T# 1 regular T # 2 super <br /> Spill Container Manufacturer: OPW OPW <br /> Method of Cathodic Protection F Nonmetallic F Nonmetallic ® Nonmetallic ® Nonmetallic <br /> ® Other ® Other m Other ❑ Other <br /> Is the spill container minimum F Yes F Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ® No* ® No* p'J No* ❑ No* <br /> riser volume? <br /> Method to keep spill container ® Drain ® Drain ❑ Drain ❑ Drain <br /> empty ® Pump F Pump ❑ Pump ❑ Pump <br /> ® Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results MPass F Pass ❑ Pass E] Pass <br /> ® Fail ® Fail ❑ Fail ❑ Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic ❑ Nonmetallic <br /> ❑ Other ® Other ❑ Other ® Other <br /> Is the spill container minimum ® Yes ❑ Yes ❑ Yes ❑ Yes <br /> capacity five gallons excluding ® No* ® No* ® No* El No* <br /> riser volume? <br /> Method to keep spill container ® Drain ❑ Drain ® Drain ❑ Drain <br /> empty ® Pump ❑ Pump [7 Pump ❑ Pump <br /> ❑ Other ❑ Other ❑ Other ❑ Other <br /> Spill Container Test Results ® Pass ® Pass ® Pass ❑ Pass <br /> ❑ Fail ® Fail ❑ Fail LC Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail" and each proposed remedy. <br /> regular fill bucket failed initial test, replaced fill adapter gskt and tightened fitting, replace <br /> fill cap and retested with passing results <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 />