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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILL CONTAINER DETAILS <br /> Test Method Developed by El Manufacturer Ej Industry Standard ® Professional Engineer <br /> Test Type El Pressure 0 Vacuum ® Hydrostatic <br /> Tank ID 87 91 Diesel <br /> Spill Container Manufacturer: OPW OPW OPW <br /> Method of Cathodic Protection E Nonmetallic 0 Nonmetallic F1 Nonmetallic 17 Nonmetallic <br /> 0 Other 0 Other E] Other 0 Other <br /> Is the spill container minimum M Yes El Yes E Yes © Yes <br /> capacity five gallons excluding 0 No* El No* ® No* © No* <br /> riser volume? <br /> Method to keep spill container 0 Drain M Drain El Drain M Drain <br /> empty 0 Pump [7 Pump © Pump El Pump <br /> [[I Other 0 Other r] Other r] Other <br /> Spill Container Test Results C Pass 0 Pass 0 Pass El Pass <br /> Fail I 0 Fail I r] Fail 0 Fail <br /> Tank ID <br /> Spill Container Manufacturer: <br /> Method of Cathodic Protection C] Nonmetallic E] Nonmetallic ® Nonmetallic M Nonmetallic <br /> n Other © Other © Other © Other <br /> Is the spill container minimum 97 Yes El Yes ® Yes © Yes <br /> capacity five gallons excluding © No* [M No* © No* r] No* <br /> riser volume? <br /> Method to keep spill container 0 Drain r] Drain ® Drain 0 Drain <br /> empty 0 Pump ® Pump ® Pump © Pump <br /> ® Other ® Other ® Other E] Other <br /> Spill Container Test Results L! Pass ® Pass ® Pass ® Pass <br /> © Fail © Fail © Fail Ej Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail"and each proposed remedy. <br /> * Mark here if: <br /> M 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 />