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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 87 91 DIESEL DIESEL A -B Spill Container Manufacturer: OPW OPW OPW OPW Method of Cathodic Protection ❑✓ Nonmetallic ❑ Other 0 Nonmetallic ❑ Other 0Nonmetallic ❑ Other ED Nonmetallic ❑ Other Is the spill container minimum capacity five gallons excluding riser volume? p Yes ElNo* 0 Yes ElNo* ❑✓ Yes ❑ No* ❑✓ Yes ElNo* Method to keep spill container empty ❑✓ Drain ❑ Pump ❑ Other ❑✓ Drain ❑ Pump ❑ Other ❑✓ Drain ❑ Pump ❑ Other ❑✓ Drain ❑ Pump ❑ Other Spill Container Test Results O Pass ❑ Fail [Z] Pass ❑ Fail 0 Pass ❑ Fail ❑ Pass ED Fail Tank ID RED DIESEL Spill Container Manufacturer: OPE Method of Cathodic Protection EDNonmetallic ❑ Other ElNonmetallic ❑ Other ElNonmetallic ❑ Other [INonmetallic ❑ Other Is the spill container minimum capacity five gallons excluding riser volume? p Yes ElNo* ❑ Yes ElNo* ❑ Yes ElNo* ❑ Yes ElNo* Method to keep spill container empty 0 Drain ❑ Pump ❑ Other ❑ Drain ❑ Pump ❑ Other ❑ Drain ❑ Pump ❑ Other ❑ Drain ❑ Pump ❑ Other Spill Container Test Results D Pass ❑ Fail El Pass ❑ Fail El Pass ❑ Fail ElPass ❑ Fail 8. COMMENTS Describe all answers marked "Other," "No," or "Fail" and each proposed remedy. DIESEL A -B BUCKET FAILED LAKE TEST VAN DE POL WILL MAKE REPAIRS AND RETEST * Mark here if: ❑ Spill containers do not have a minimum capacity of five gallons and require replacement. Additional copies of this page maybe attached. Page 2 of 2