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Underground Storage Tank Spill Container Testing Report Form Additional copies of this page maybe attached. Page 2 of 2 Tank ID 87 91 Spill Container Manufacturer: OPW OPW EZI Nonmetallic 0 Nonmetallic ❑ Nonmetallic ❑ Nonmetallic Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum p Yes [ I Yes ❑ Yes ❑ Yes capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* riser volume? � Drain O Drain El Drain El Drain Method to keep spill container 171 Pump El Pump El Pump El Pump empty ❑ Other ❑ Other ❑ Other ❑ Other El Pass 0 Pass ❑ Pass ❑ Pass Spill Container Test Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail Tank ID Spill Container Manufacturer: E3 Nonmetallic El Nonmetallic El Nonmetallic El Nonmetallic Method of Cathodic Protection ❑ Other ❑ Other ❑ Other ❑ Other Is the spill container minimum ❑ Yes ❑ Yes ❑ Yes ❑ Yes capacity five gallons excluding ❑ No* ❑ No* ❑ No* ❑ No* riser volume? ❑ Drain ❑ Drain ❑ Drain ❑ Drain Method to keep spill container ❑ Pump ❑ Pump ❑ Pump ❑ Pump empty ❑ Other ❑ Other ❑ Other ❑ Other ❑ Pass ❑ Pass ❑ Pass ❑ Pass Spill Container Test Results ❑ Fail ❑ Fail ❑ Fail ❑ Fail Additional copies of this page maybe attached. Page 2 of 2