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Underground Storage Tank <br />Spill Container Testing Report Form <br />6. SPILL CONTAINER DETAILS <br />Test Method Developed by ❑ Manufacturer ✓❑ Industry Standard ❑ Professional Engineer <br />Test Type ❑ Pressure ❑ Vacuum✓❑ Hydrostatic <br />Tank ID <br />T1 : Regular <br />T2: Premium <br />Spill Container Manufacturer: <br />Phil-Tite <br />Phil-Tite <br />Method of Cathodic Protection <br />❑✓ Nonmetallic <br />✓❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Is the spill container minimum <br />Z Yes <br />Z Yes <br />E] Yes <br />❑Yes <br />capacity five gallons excluding <br />E] No* <br />E] No* <br />E] No* <br />E] No* <br />riser volume? <br />❑✓ Drain <br />✓❑ Drain <br />❑ Drain <br />❑ Drain <br />Method to keep spill container <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />❑ Pump <br />empty <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />✓❑ Pass <br />✓❑ Pass <br />❑ Pass <br />❑ Pass <br />Spill Container Test Results <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />Tank ID <br />Spill Container Manufacturer: <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Nonmetallic <br />❑ Nonmetallic <br />Method of Cathodic Protection <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />Is the spill container minimum <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />❑ Yes <br />capacity five gallons excluding <br />riser volume? <br />No* <br />E] No* <br />No* <br />❑ No* <br />❑ No* <br />E] Drain <br />El Drain <br />E] Drain <br />E]Drain <br />Method to keep spill container <br />E]Pump <br />E]Pump <br />ElPump <br />ElPump <br />empty <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Other <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />❑ Pass <br />Spill Container Test Results <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />❑ Fail <br />8. COMMENTS <br />Describe all answers marked "Other, " "No, " or "Fail' and each proposed remedy. <br />Verification for Overfill Prevention Testing. <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 />