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Underground Storage Tank <br /> Spill Container Testing Report Form <br /> 6. SPILLCONTAINER DETAILS <br /> Test Method Developed by Manufacturer Z Industry Standard Professional Engineer <br /> Test Type Pressure Vacuum F,/ Hydrostatic <br /> Tank ID 87 Fill 91 Fill DSL Fill <br /> Spill Container Manufacturer: oPW OPW oPW <br /> Method of Cathodic Protection <br /> -]Nonmetallic Nonmetallic �/ Nonmetallic Nonmetallic <br /> ❑Other EjOther Other ❑Other <br /> Is the spill container minimum ❑✓ Yes ❑✓ Yes <br /> capacity five gallons excluding �✓ Yes Yes <br /> [:]No*volume? o* �No* F—]No* ❑No* <br /> Drain Drain Drain Drain <br /> Method to keep spill container <br /> R/l empty Pump ✓❑Pump Pump Pump <br /> Other F7 Other Other 00ther <br /> Spill Container Test Results ✓I Pass 7Pass EZ]Pass Pass <br /> ❑Fail ❑Fail Fail Fail <br /> Tank ID 87 vapor 91 vapor <br /> Spill Container Manufacturer: oPW oPW <br /> Method of Cathodic Protection F✓ Nonmetallic Nonmetallic Nonmetallic Nonmetallic <br /> ❑Other E]Other ❑Other =Other <br /> Is the spill container minimum Yes WlYes Yes ❑Yes <br /> capacity five gallons excluding ❑No* [:]No* �No* [:]No*riser volume? <br /> Method to keep spill container Drain Drain Drain ❑Drain <br /> empty Pump ❑Pump ❑Pump ❑Pump <br /> Other Other ❑Other ther <br /> Spill Container Test Results Wass Pass Pass Pass <br /> ,=Fail ❑Fail Fail =Fail <br /> 8. COMMENTS <br /> Describe all answers marked "Other," "No,"or "Fail'and each proposed remedy. <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 />